Date: 12-07-2020
First Year MBBS Examination
I MBBS Anatomy Paper 1 (New)
Time: 3 hours
Max Marks: 100

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Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each section.
4. Draw diagrams wherever necessary.

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5. Write legibly.
Section 1 (20)
1. (MCQ)
a. All of the following are derivatives of deep
cervical fascia except:

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a. a. Pretracheal fascia
b. b. Prevertebral fascia
c. c. Stylomandibular ligament
d. d. Sphenomandibular ligament
b. Which of the following [ymph nodes are termed

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Virchow's lymph nodes:
a. a. Left Infra clavicular

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b. b. Left supraclavicular
c. c. Right infraclavicular
d. d. Right supraclavicular

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c. Hypoglossal nerve crosses superficial to all of
the following are true except:
a. a. Internal carotid artery
b. b. External carotid artery
c. c. Facial artery

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d. d. Loop of lingual artery
d. The true statement about the thyroid gland is:
a. a. It develops from the thyroglossal duct
b. b. It lies opposite to C3-C7 cervical
vertebrae

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c. c. Its is famous lies opposite cricoid cartilage
d. d. It is the least vascular endocrine gland in
the body
e. All of the following muscles adduct the vocal
folds except:

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a. a. Lateral cricoarytenoid
b. b. Posterior cricoarytenoid
c. c. Thyroarytenoid
d. d. Interarytenoid
f. All of the following structures are present in

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the dellopectoral groove except:
a. a. Cephalic vein
b. b. Deltopectoral lymph node
c. c. Basilica vein
d. d. Deltoid branch of thyraco-acromial artery

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g. Which of the following statement about

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cephalic vein is incorrect?
a. a. cephajic vein corresponds to the great
saphenous vein of the lower limb
b. b. ft is post axial vein of the upper limb

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c. c. It appears is clay vi pectoral fascia to drain
into axillary vein
d. d. Greater part of its blood is drained into
basilic vein through medial cubital vein
h. The only muscle of anterior compartment of

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arm that is inserted into the humerus is:
a. a. Biceps brachii
b. b. Coracobrachialis
c. c. Brachialis
d. d. None

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i. All transitions which at the level of insertion of
coracobrachialis are Correct except
a. a. Median nerve crosses brachial artery from
lateral to medial side
b. b. Ulnar pierces medial intermuscular

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septum to enter the posterior compartment of
the arm
c. c. Cephalic vein pierces the deep fascia
d. d. Radial nerve pierces the lateral
intermuscularseptum to enter the anterior

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compartment of the arm
j. All of the following are branches of brachial
artery except:
a. a. Profunda branchii artery
b. b. Main humeral nutrient artery

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c. c. Radial collateral artery
d. d. Superior ulnar collateral artery
k. Nucleus m Vikas supplies all of the following
except:
a. a. All muscles of the larynx

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b. b. Stylopharyngeous muscle
c. c. Constrictor muscle of pharynx
d. d. Palatoglossus muscle
l. A LMN lesion is a lesion in the
a. a. anterior grey column of spinal cord

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b. b. Dorsal root ganglion
c. c Pontine nuclei
d. d. Sympathetic chain
m. In the tegmentum of midbrain lemniscii are
arranged from middle to lateral side as:

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a. a. Medial, spinal trigeminal, lateral
b. b. Medial, lateral, spinal trigeminal
c. c. Lateral, trigeminal, spinal
d. d. Medial, trigeminal spinal, lateral
n. Medial, trigeminal, spinal, lateral All of the

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following are intracerebral nuclei except:
a. a. Dentate nucleus
b. b. Fastigial nucleus
c. c. Globus nucleus
d. d. Red nucleus

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o. The upper half of the esophagusis lined by
a. a. Stratified cuboidal epithelium
b. b. Stratified squamous non-keratinized
epithelium

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c. c. Stratified columnar non- keratinized

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epithelium
d. d, Stratified squamous keratinized
epithelium
p. The haversian system is found in;
a. a. Diaphysis of long bones

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b. b, Cancellous bone
c. c. Epiphysis
d. d. Spongy bones of children
q. Primordial germ cell is derived from:
a. a. Ectoderm

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b. b. Mesoderm
c. c. Endoderm
d. d. Mesodermal sinus
r. Embryonic life end at
a. a. 6 weeks

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b. b. 8 weeks
c. c. 10 weeks
d. d. 38 weeks
s. Joint between epihysis and diaphysis of a long
bone is a type of the joint

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a. a. Plane synovial joint
b. b. Fibrous joint
c. c. Symphysis joint
d. d. Synchondrosis
t. Endocrine gland with portal system of

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circulation
a. a, Hypophysis cerebri
b. b. Ovary

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c. c. Pineal
d. d. Pancreas

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Section 2
2. Write following structured essay question (1
out of 2) (10)
a. Describe type, origin, insertion, nerve supply,
action, structures undercover, applied anatomy

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of deltoid muscle.: (1+1+1+1+2+2+2)
b. Describe part, relation, branches and applied
anatomy of Axillary artery (1+3+3+3)
3. Case based question (2 out of 3) (10)
a. 35 year old woman came to the surgeon with

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complaint of hard, painless lump in the upper
outer quadrant of the right breast. Examination
revealed enlarged axillary lymph nodes on the
right side and loss of mobility of the breast. X-
ray of vertebral column showed irregular

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shadows in the bodies of L4 and L5 vertebrae.
(14242)
a. a. What is the probable diagnosis?
b. b. Name the three muscles related to the
base of the breast.

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c. c. Describe lymphatic drainage of breast.
b. A patient has swelling below the lower jaw on
the right side. The swelling increased in size
during eating. The surgeon inspected the
sublingual papilla in the floor of the mouth and

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did a bidigital examination by putting index
finger inside the oral cavity and the thumb
outside in front of the angle of the mandible.
(1241-1)
a. a. Which salivary gland is palpated in this

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case?
b. b. Name the parts of these gland and the
muscle that separates these parts.
c. c. What is the length of its duct and where
does it open?

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d. d. Name the radiological investigation done
to visualize the duct system of salivary
glands.
c. A patient was brought to the hospital with
sudden onset of vertigo and nystagmus. The

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attending physician noted that the patient had
dysphagia, dysarthria and hoarseness of voice.
On examination, it was found that the Jaryngeal
and palatine muscles on left side were
paralyzed. There was Joss of pain and

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temperature on the body below the neck on the
right side. The patient had unsteady gait. The
above signs and symptoms are indicative of a
vascular lesion in brainstem.
a. a. Name the parts of the brain stem and

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identify the syndrome.
b. b. Which artery is occluded in this syndrome
and what is it a branch of?
c. c. Give reason for lass of pain and

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temperature on the left side of face.

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d. d. Give reason for loss of pain and
temperature sensations below the neck on
the right side.
e. e. Explain the paralysis of Jaryngeal,
pharyngeal and palatine muscles.

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(1+1+1+i+1)
4. A. Write short notes on (1 out of 2) (5)
a. Blood supply of long bone
b. Modification of Deep fascia
5. B. Write short notes on (1 out of 2) (5)

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a. Hyaline cartilage
b. Microscopic anatomy of thick skin
Section 3
5. Short answer question (2 out of 3) (10)
a. Radial nerve in arm

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b. Otic ganglion
c. Posterior belly of digastric muscle.
6. Long question - structured essay question (1
out of 2) (10)
a. Facial nerve: nucleus, intra and extra cranial

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course, enumerate branches and applied
anatomy. (2+3+2+3)
b. Describe relations, content, connections and
applied anatomy of superior Sagittal sinus.
(2+2+3+3)

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7. Write short notes on (2 out of 3) (5)

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a. Internal Capsule
b. Draw & label T.S of Midbrain at the level of
superior colliculus
c. circle of Willis

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8. A. Write short notes on (1 out of 2) (5)
a. Microscopic anatomy of thyroid gland
b. Microscopic anatomy of circumvallate papillae.
9. B. Write short notes on [1 out of 2) (5)
a. Frist pharyngeal arch

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b. Development of Thymus
10. Write answer in one or two sentences (5 out of
6) (10)
a. Which are the boundaries & content of
Anatomical snuff box?

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b. Motor supply of Parotid Gland.
c. Draw & label T.S. of spinal cord at cervical
level
d. What is function of sesamoid bone?
e. Type of cartilage with one example.

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f. Urothelium epithelium.
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