GGA 4001
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. 5.
Write legibly.
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Section 11.MCQ (20)
a. The axillary artery:(A)Arises from the
vertebral artery (B)Is divided into 3 parts
by teres major(C) Has no branches in
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its 3rd part (D) Supplies the pectoralmuscles via the superior thoracic a.
b. With regard to the brachial plexus: (A)
The axillary nerve is derived from the
lateral cord (B) The roots lie between
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the scalene muscles (C) There are 7divisions of the trunks (D) The nerve to
subclavius is the only branch from the
trunks
c. Which doesn't pierce the Clavipectoral
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Fascia?(A)Lymphatic(B) Cephalicvein(C) Lateral pectoral nerve(D) Medial
pectoral nerve
d. The mandibular, division of the
trigeminal nerve(exits the skull through
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(A) Foramen ovale. (B) Foramenlacerum. (C) Foramen spinosum. (D)
Foramen rotundum.
e. Which type of papillae on the tongue
does NOT contain taste buds?
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(A)Filiform papillae(B) Circumvallatepapillae (C) Fungiform papillae (D)
Foliate papillae
f. The blind spot" in the retina refers to the
(A)Sclera. (B) Retina. (C) Optic disc.
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(@) Ciliary body.g. The medulla oblongata: (A)Lies
between the midbrain and pons (B)Has
only one cranial nerve emerging from it
(the trigeminal nerve) (C) Has pyramids
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lateral to the olives(D) Passes throughthe foramen magnum
h. site of protein synthesis? (A)Ribosomes
(B) Peroxisome(C) Microfilaments @)
Centrioles
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i. Which structure is encircled by the
circle of Willis? (A) Cavernous sinus(B)
Pineal gland(C) Aqueduct of the
midbrain (D) Pituitary stalk
j. What is the covering of an individual
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muscle fibre? (A)Sarcoplasm (B)Perimysium(C) Endomysium(D)
Epimysium
k. Regarding the speech centres: (A)
Broca's area is on the left side in most
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left-handed people(B) Broca's area isposterior(C) Wernicke's area controls
motor response (D) Damage to Broca's
area produces motor aphasia
l. Which connective tissue cell type
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produces collagen? (A)Fibroblast(B)Connective tissue macrophage (C)
Histiocyte(D) Plasma cel
m. The embryonic origin of the ligamentum
arteriosum is from the: (A) Third arch
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artery (B)Fourth arch artery (C) Fiftharch artery (D) Sixth arch artery
n. The optic nerve is derived from what
embryonic tissue? (A)neural crest
(B)ectoderm (C) mesoderm (D)
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endodermo. The notochord is replaced by the:
(A)ependyma (B)nucleus pulposus (C)
spinal canal (D) dorsal roots
p. Neural crest derivatives are A/E:(A)
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Melanocytes (B)Schwann cells (C)Thyroid follicular cells (D) Para follicular
C cells
q. Primary center of ossification appears
in (A) Epiphysis (B)Metaphysic A?
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Diaphysis(D) Epihyseal plater. All of the following is example of saddle
joint except (A)Sterno clavicular
joint(B)Wrist joint (C) Incudo malleolar
joint (D) Calcaneo cuboid joint
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s. Arterioles are the example of (A)Resistance vessels (B)Distributing
vessels (C) Conducting vessels (D)
Capacitance vessels
t. A clinical condition called tetany occurs
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due to (A)Hypothyroidism(B)Hyperthyroidism (C)
Hypoparathyroidism (D)
Hyperparathyroidism
Section 2
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2.Write following structured essayquestion: (1 out of 2) (10)
a. Describe type, Ligaments, muscle
producing movements, relations applied
anatomy of Shoulder joint.
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b. Describe structure, blood supply,Lymphatic drainage & applied anatomy
of mammary gland.
3.Case based question: (2 out of 3) (10)
a. A 82-year-old woman delivered a
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large(4800 g) baby vaginally after somedifficulty with her labor. Her prenatal
course was complicated by diabetes,
which occurred during pregnancy. At
delivery, the infant's head emerged, but
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the shoulders were stuck behind thematernal symphysis pubis, requiring the
obstetrician to apply some effort and
maneuvers to free up the infant's
shoulders and complete the delivery.
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The infant was noted to have a good cryand pink color but was not moving its
right arm. What is the most likely
diagnosis? b. What is the most likely
etiology for this condition? c. Which are
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the various other sign and symptoms ofthis clinical condition?
b. A 47-year-old woman is undergoing
surgical removal of her gallbladder
(cholecystectomy). Her medical
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problems include insulindependentdiabetes mellitus and sleep apnea. After
the anesthesiologist has administered
the paralyzing agent (succinylcholine),
the patient is found to have spasms of
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the airway and difficulty breathing withthe bag and mask. The anesthesiologist
attempts to place an endotracheal tube
by direct visualization (direct
laryngoscopy), without success due to
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swelling (laryngeal edema). Meanwhile,the oxygen saturation content of the
blood has decreased to a very low
range of 80 percent. The
anesthesiologist remarks that an
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emergency airway needs to besurgically opened. a. What is the name
of that emergency procedure? b. Which
is the exact position of incision? c.
Describe anatomy of that structure
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c. A 28-year-old woman at 19 weeks ofpregnancy complains of acute onset of
numbness of the right cheek and
drooping of the tight face that occurred
over 1 hour. She denies trauma to the
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head. On examination, the patient hasdifficulty closing her right eyelid, and
her right nasolabial fold is smoother
than on the left. She also is drooling
from the right side of her mouth. The
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remainder of the neurological
examination is normal, a. What is the
most likely diagnosis? b. What is the
anatomical mechanism for this
condition? c. Describe course, branches
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of affected structure4A.Write short notes on: (1 out of 2) (5)
a. Epiphysis
b. Anastomosis
4B.Write short notes on: (1 out of 2) (0)
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a. Classification of glandb. Microscopic anatomy of lymph node
5.Short answer question: (2 out of 3) (10)
a. Lumbrical muscle of upper limb
b. Scalp
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c. Nasal SeptumSection 3
6.Long question-structured essay question:
(1 out of 2) (10)
a. Which are the triangles of Neck? Draw
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and label boundaries of triangle of neck.Describe content & applied anatomy of
carotid triangle.
b. Describe relations, content, connections
and applied anatomy of Cavernous
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sinus.7.Write short notes on: (2 out of 3) (10)
a. Internal Capsule
b. Draw & label T.S of Medulla at the level
of sensory decussation
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c. Hypothalamic nuclei.8A.Write short notes on: (1 out of 2) (5)
a. Microscopic anatomy of Trachea
b. Microscopic anatomy of sensory
ganglion
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8B.Write short notes on: (1 out of 2) (5)a. Development of Face
b. Development of Pituitary gland
9.Write answer in one or two sentence: (5
out of 6) (10)
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a. Which are the boundaries and contentof Cubital fossa?
b. What is the motor and sensory supply
to tongue?
c. Draw & label T.S. of spinal cord at
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thoracic leveld. Which are the layers present in skin?
e. Enumerate neuroglial cells & its
function.
f. Name the location where
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pseudostratified ciliated columnarepithelium present.
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