Anatomy Paper-2 (Supplementary), 2021 MBBS Batch ABVMU Lucknow

ATAL BIHARI VAJPAYEE MEDICAL UNIVERSITY, UTTAR PRADESH
MBBS 1st PROFESSIONAL SUPPLEMENTARY EXAMINATION
ANATOMY - PAPER - II

TIME: 3 Hrs
Max. Marks: 100

Note: Attempt all questions. Answer Section - A and Section - B in separate answer books. All parts of a question should be answered together.

SECTION – A

PAPER CODE: 2322130001

Q.1 Long Answer Question (1 x 15 = 15 Marks)

A 19-year-old female was admitted to the emergency department for paraumbilical pain, vomiting, and fever. Physical examination revealed tenderness over McBurney’s point. Blood test showed elevated level of leucocytes. Clinical examination and ultrasonography confirm the diagnosis of acute appendicitis.

1. What is McBurney’s point? (3 Marks)

2. Why pain is referred to paraumbilical region? (3 Marks)

3. What are the different position of appendix? (3 Marks)

4. Write the blood supply and histology of appendix? (4 Marks)

5. What is appendicectomy? (2 Marks)

Q.2 Short Notes Questions (within 500 words) (3 x 5 = 15 Marks)

a) Parotid anastomosis
b) Rectus sheath with applied anatomy
c) Histology of body and blood supply of stomach

Q.3 Short Answer Questions (within 100 words) (5 x 2 = 10 Marks)

a) Barr body
b) Down’s syndrome: genotype & phenotype
c) Label the diagram and mention relations of both kidneys
d) Enumerate the bare areas of liver
e) Anteversion and antiflexion angle of uterus

Q.4 Multiple Choice Questions (1 x 10 = 10 Marks)

• 1. Brunner’s gland are seen in ………
  a) Stomach
  b) Duodenum
  c) Jejunum
  d) Ileum

• 2. All develop from foregut except:
  a) Stomach
  b) Liver
  c) Vermiform appendix
  d) Pancreas

• 3. Insulin secreted by which cells or islets of Langerhans?
  a) Alpha
  b) Beta
  c) Gama
  d) Delta

• 4. All are retro-peritoneal organs except:
  a) Kidneys
  b) Liver
  c) Supra-renal glands
  d) Descending colon

• 5. All are the branches of anterior division of internal iliac artery except:
  a) Superior vesical artery
  b) Inferior vesical artery
  c) Internal pudendal artery
  d) Superior gluteal artery

• 6. Incorrect statement about Meckel’s diverticulum:
  a) Located 2 feet proximal to the ileocaecal junction
  b) Usually 20 cm in length
  c) Attached to antimesenteric border
  d) May cause intestinal obstruction

• 7. Appendices epiploicae are features of:
  a) Appendix
  b) Caecum
  c) Rectum
  d) Sigmoid colon

• 8. Left testicular vein drains into:
  a) Left renal vein
  b) Inferior vena cava
  c) Common iliac vein
  d) Inferior mesenteric vein

• 9. The sex of a child is determined by:
  a) Male chromosome
  b) Female chromosome
  c) Environmental factors
  d) Maternal hormones

• 10. All are contents of the spermatic cord except:
  a) Pampiniform plexus
  b) Genital branch of genitofemoral nerve
  c) Ilio-inguinal nerve
  d) Vas deferens

SECTION – B PAPER CODE: 2322230001

Q.1 Long Answer Question (1 x 15 = 15 Marks)

A 55-year-old male is admitted to the emergency department with severe chest pain. Coronary angiography reveals that the patient’s right coronary artery is free of pathology. The left coronary artery is found to be 70% to 80% occluded at three points proximal to its bifurcation into the circumflex and left anterior descending arteries. Describe the blood supply of the heart under the following headings:

1. Having a left dominant coronary circulation, and without surgery, what is the most likely explanation for a poor prognosis for recovery of this patient to a normally active life? (5 Marks)

2. Left Coronary artery: origin, course, branches, and area of distribution. (5 Marks)

3. Enumerate changes in foetal circulation after birth. (5 Marks)

Q.2 Short Notes Questions (within 500 words) [3 x 5 = 15 Marks]

a) Femoral triangle
b) Development of Interatrial septum
c) Hamstring muscles

Q.3 Short Answer Questions (within 100 words) (5 x 2 = 10 Marks)

a) Enumerate the major openings of the diaphragm and structures passing through them
b) Define bronchopulmonary segment
c) What is positive Trendelenberg sign?
d) Enumerate the contents of the popliteal fossa
e) Name the muscles supplied by the deep peroneal nerve

Q.4 Multiple Choice Questions (1 x 10 = 10 Marks)

• 1. Clara cells are found in ………
  a) Larynx
  b) Lungs
  c) Liver
  d) Oesophagus

• 2. All are the tributaries of azygos vein except:
  a) Hemiazygos vein
  b) Accessory hemiazygos vein
  c) Right first posterior intercostal vein
  d) Right bronchial vein

• 3. Y-shaped ligament of the hip joint is:
  a) Iliofemoral ligament
  b) Ischiofemoral ligament
  c) Pubofemoral ligament
  d) Ligament of head of femur

• 4. Which one of the following structures does not pass beneath the superior extensor retinaculum of the foot?
  a) Anterior tibial artery
  b) Extensor hallucis longus
  c) Peroneus brevis
  d) Deep peroneal nerve

• 5. Tetralogy of Fallot excludes:
  a) Pulmonary stenosis
  b) Overriding aorta
  c) Atrial septal defect
  d) Right ventricular hypertrophy

• 6. Not true about locking and unlocking of knee joint:
  a) Locking occurs at the end of extension
  b) Medial rotation of the tibia on femur in locking
  c) Unlocking occurs during initial phase of flexion
  d) Locking is essential for standing in an erect posture

• 7. _________ are typical intercostal nerves:
  a) 1st - 3rd
  b) 3rd - 6th
  c) 7th - 11th
  d) 11th - 12th

• 8. Uppermost structure in the hilum of the right lung is:
  a) Pulmonary artery
  b) Bronchial artery
  c) Superior pulmonary vein
  d) Bronchus

• 9. All are dilatations of primary heart tube except:
  a) Bulbus cordis
  b) Primitive ventricle
  c) Right atrium
  d) Sinus venosus

• 10. Which of the following types of chromosomes is not seen in humans?
  a) Metacentric
  b) Submetacentric
  c) Telocentric
  d) Acrocentric