First Year MBBS

KUHS Model Question paper – Paper 1

Upper Limb, Head & Neck, Neuroanatomy including General Embryology, General Histology
and Genetics

Time: 3 Hours

Max Marks: 100

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• Answer all questions to the point neatly and legibly

• Indicate the question number correctly for the answer in the margin space
• Answer all parts of a single question together.
• Draw Diagrams wherever necessary

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I. MCQ

For question numbers 1-5, read the following case scenario & answer the questions.

A 48-year-old female court stenographer is admitted to the orthopaedic clinic with symptoms of
carpal tunnel syndrome, with which she has suffered for almost a year.

1. Which muscles most typically become weakened in this condition?

A. Dorsal interossei
B. Lumbricals III & IV
C. Thenar
D. Palmar interossei
E. Hypothenar

2. Which is the nerve likely to be compressed here?

A. Median
B. Ulnar
C. Radial
D. Musculocutaneous
E. Anterior interosseous
3. What is the sensory loss in this patient?

A. Over the anatomical snuff box

B. Over the lateral 3 ½ digits
C. Over medial 1 ½ digits
D. Over dorsum of hand
E. Over the lateral part of palm
 4. The bones taking part in carpal tunnel are all except

A. Scaphoid
B. Lunate
C. Triquetral
D. Capitate
E. First metacarpal

5. The clinical effects in carpal tunnel syndrome are all except

A. Paralysis sf thenar muscles

B. Paralysis of 3rd & 4th lumbricals
C. Weakness in flexing and abducting thumb
D. Paralysis of 1st & 2nd lumbricals
E. Vasomotor changes in lateral 3 ½ fingers

For Question numbers 6-10 consists of two statements-Assertion (A) and reason (R).
Answer these questions by selecting the appropriate options given below.

A. Both A and R are true, and R is the reason for A

B. Both A and R are true, and R is not the reason for A
C. A is correct but R is incorrect
D. A is incorrect but R is correct
E. Both A & R are incorrect

6. (A) In the surgical exposure of Radial nerve in spiral groove of humerus, lateral head of triceps

brachii need to be divided.

(R) Lateral head of triceps brachii originates from posterior surface of humerus above spiral

groove and overlaps radial nerve

7. (A)Median cubital vein is chosen for venepuncture

(R) Median cubital vein shunts blood from cephalic vein to basilic vein.

8. (A) The circumvallate papillae is innervated by Chorda tympani nerve

(R)The circumvallate papillae develops from cranial part of hypobranchial eminence derived

from 3rd pharyngeal arch.

9. (A) A stab injury at supraclavicular fossa may result in venous air embolism.

(R) External jugular vein at 2.5cm above clavicle is tightly adherent to deep cervical fascia

and is unable to retract upon injury.

10. (A) Choroid plexus is responsible for production of cerebrospinal fluid.

(R) Tela choroidea refers to pial element of choroid plexus.

Question numbers 11-15 are multiple response type questions. Read the statements & mark
the answers appropriately.

11. Which of the following statement/s is /are true about allantois?

I. it is represented by median umbilical ligament in adults.

ii. it is involved in the development of urinary bladder.

iii. it involutes to form urachus before birth.

iv. its persistence can result in occurrence of Meckel’s diverticulum.

A. i, ii, iii
B. i, iii, iv
C. i,,ii, iv
D. ii,iii
E. i, ii

12. Which of the following statement/s is /are true about osteocytes?

I. they represent osteoblasts trapped in lacunae due to matrix around.

ii. They are located within lacunae and their processes lie in canaliculi

iii. They are the precursors of osteoblasts

iv. Their processes do not communicate with that of other osteocytes.

A. i, ii, iii
B. i, iii, iv
C. i, ii, iv
D. ii, iii
E. i, ii

13. Which of the following statement/s is /are examples of denoted epiphyses?

I. Pressure epiphysis: lower end of fibula

ii. Aberrant epiphysis: upper end of humerus

iii. Traction epiphysis: olecranon process of ulna

iv. Atavistic epiphysis: coracoid process of scapula

A. i, ii, iii
B. i, iii, iv
C. i,,ii, iv
 D. ii,iii
E. i, ii

14. Which of the following artery/arteries supply Medulla Oblungata?

I. Superior cerebellar

ii. Anterior spinal

iii. Posterior spinal

iv. Labyrinthine artery

A. i, ii, iii
B. i, iii, iv
C. i,,ii, iv
D. ii,iii
E. i, ii

15. Which of the following statement/s is /are true about Trochlear nerve?

I. It is the only cranial nerve emerging from dorsal aspect of brainstem

ii. It is having longest intracranial course

iii. Its nucleus lie in superior colliculus of the midbrain

iv. It innervates inner ear

A. i, ii, iii
B. i, iii, iv
C. i,,ii, iv
D. ii,iii
E. i, ii

Question numbers 16-20 are single response type questions.

16. Which of the following is a powerful supinator in a semi flexed elbow

A. Brachialis
B. Supinator
C. Brachioradialis
D. Biceps Brachii
E. Coracobrachialis

17. Which of the following exhibit metachromasia with toludine blue

A. Fibroblast
 B. Histiocyte

C. Mast cell

D. Plasma cell

E. Macrophage

18. Which of the following actions demonstrate disrespect to the cadavers?

A. taking a cadaveric oath

B. wrapping undissected parts of the cadaver with a cloth

C. leaving dissection wastes on the cadaver

D. replacing the cadaver in formalin tanks every weekend

E. using carbolic acid to remove fungus from cadaver

19. Which of the myotomes gives rise to the muscles of the tongue

A. Preoccipital

B. Occipital

C. Cervical

D. Otic

E. Thoracic

20. The following are intracerebellar nuclei except

A. Globosus

B. Trapezoid

C. Emboliformis

D. Fastigii

E. Dentatus

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NB:

Q 1-5: Case Based Type

Q 6-10: Assertion-Reason Type
Q 11-15: Multiple Response Type

Q 16-20: Single Response Type

II. Long Essays: (2x10=20)

1. A 34-year-old woman came to the hospital with a nodular swelling in the midline of the neck.
The swelling moved with swallowing. On examination, it was found that she had slight
tremors on outstretched hands, her pulse rate was 100 per minute and there was slight
bulging of the eyes. Blood levels of T3 and T4 were high and TSH level was low. With your
knowledge in anatomy, answer the following:
a) Name the structure that is responsible for midline swelling in the neck.
b) Give anatomical reason for the movement of swelling with swallowing.
c) Describe parts and relations of the structure with a diagram.
d) Describe the clinical importance of the capsules of the structure.
e) Write briefly on the development of the structure. (1+2+3+2+2=10)
2. Describe radial nerve under the headings: origin, course, branches, clinical effect of its injury
at various levels. (1+3+2+4=10)
III. Short Essays: (6 X 6 =36)
3. Describe parts, relations & fibres within Internal capsule. (1+1+4=6)
4. Describe stratified epithelium with site of occurrence of each type. (2+2+2=6)
5. Describe the formation and anomalies of placenta. (4+2=6)
6. Explain karyotyping and its clinical applications. (4+2=6)
7. Describe the extent & lymphatic drainage of mammary gland. (2+4=6)
8. Describe the location, relations & clinical importance of cavernous sinus. (1+3+2=6)
IV. Short Notes: (6 X 4 =24)
9. Distinguish the microscopic features of hyaline & elastic cartilage.
10. Describe Circle of Willis.
11. Describe first pharyngeal arch.
12. Describe the anatomical basis of Frey’s Syndrome.
13. Construct a detailed plan of action to emphasise respecting cadavers and derive a protocol
for handling biological tissues
14. Draw a neat labelled diagram of sagittal section through the Shoulder joint.

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