Department of Physiology Department of Physiology

Narayan Medical College & Hospital Narayan Medical College & Hospital
Jamuhar, Sasaram (Rohtas) Jamuhar, Sasaram (Rohtas)
3rd Semester Examination -2021 3rd Semester Examination -2021
Leave the first page & Back of that blank Leave the first page & Back of that blank
Full Marks - 100 Time - 3hrs 30Min. Full Marks - 100 Time - 3hrs 30Min.
1. A 40 years old man complains of headache, difficulty in vision on 1. A 40 years old man complains of headache, difficulty in vision on
either side while driving car. One examination his hand and feet either side while driving car. One examination his hand and feet
was very large and his blood sugar is 200 mg/dl. (1+3+6= 10) was very large and his blood sugar is 200 mg/dl. (1+3+6= 10)
a) Give the probable diagnosis. d) Give the probable diagnosis.
b) What is the cause of visual defects? e) What is the cause of visual defects?
c) Explain the action of the involved hormone. f) Explain the action of the involved hormone.
2. A 50yrs old male comes with history of difficulty to walk. On 2. A 50yrs old male comes with history of difficulty to walk. On
examination there is rigidity & resting tremors with abnormal gait. examination there is rigidity & resting tremors with abnormal gait.
a) What is the provisional diagnosis? (1+4+5=10) d) What is the provisional diagnosis? (1+4+5=10)
b) Describe physiological basis of rigidity & resting tremors. e) Describe physiological basis of rigidity & resting tremors.
c) Describe the connection of the parts of brain involved. f) Describe the connection of the parts of brain involved.
3. A 30 yrs old women visit the clinic with complains of difficulty in 3. A 30 yrs old women visit the clinic with complains of difficulty in
breathing and fatigue. She has menorrhagia for the past 3 months. breathing and fatigue. She has menorrhagia for the past 3 months.
Her Hb level is 6mg%, PCV 20% and MCV is 62. (1+4+5=10) Her Hb level is 6mg%, PCV 20% and MCV is 62. (1+4+5=10)
a) Name the clinical condition. d) Name the clinical condition.
b) Classify this condition on the basis of etiology. e) Classify this condition on the basis of etiology.
c) Describe the fate of hemoglobin in the body. f) Describe the fate of hemoglobin in the body.
4. Describe the pathophysiology of different types of hypoxia. (10) 4. Describe the pathophysiology of different types of hypoxia. (10)
5. Short Notes on any Ten:- 5x10= 50 5. Short Notes on any Ten:- 5x10= 50
a. Cardiac output h. Synapse a. Cardiac output h. Synapse
b. P-R interval i. JGA b. P-R interval i. JGA
c. Mechanism of HCl Secretion j. Myasthenia Gravis c. Mechanism of HCl Secretion j. Myasthenia Gravis
d. Action Potential. k. Sec. Active Transport d. Action Potential. k. Sec. Active Transport
e. Micturition l. Pancreatic Juice e. Micturition l. Pancreatic Juice
f. Presbyopia m. Bile f. Presbyopia m. Bile
g. Spermatogenesis n. Shock g. Spermatogenesis n. Shock
6. Multiple Choice Question:- 1x10=10 6. Multiple Choice Question:- 1x10= 10
i. Which of the following is not an antigen- presenting cell? i. Which of the following is not an antigen- presenting cell?
a. Macrophages c. B-cell a. Macrophages c. B-cell
b. Dendritic Cell d. T-Cell b. Dendritic Cell d. T-Cell
ii. How many extra-systoles per minutes is Normal: ii. How many extra-systoles per minutes is Normal:
a. 2-4 c. 6-8 a. 2-4 c. 6-8
b. 4-6 d. 8-10 b. 4-6 d. 8-10
iii. Ventilation – perfusion ratio is maximum at: iii. Ventilation – perfusion ratio is maximum at:
a. Apex of Lung c. Posterior lobe of Lung a. Apex of Lung c. Posterior lobe of Lung
b. Base of Lung d. Middle of Lung b. Base of Lung d. Middle of Lung
iv. Best stimuli for CCK secretion is: iv. Best stimuli for CCK secretion is:
a. Acid c. Bile a. Acid c. Bile
b. Protein & fatty Acid d. Fat b. Protein & fatty Acid d. Fat
v. Erythropoietin is secreted mainly from: v. Erythropoietin is secreted mainly from:
a. Juxtaglomerular cells c. Interstitial Cell a. Juxtaglomerular cells c. Interstitial Cell
b. Macula Densa d. Glomerulus b. Macula Densa d. Glomerulus
vi. Secretion of prolactin is decreased by: vi. Secretion of prolactin is decreased by:
a. GnRH analogue c. Serotonin a. GnRH analogue c. Serotonin
b. Dopamin d. FSH b. Dopamin d. FSH
vii. Blood-testis Barrier is located between: vii. Blood-testis Barrier is located between:
a. Sertoli and Sertoli cells c. Sertoli cell and germ cells a. Sertoli and Sertoli cells c. Sertoli cell and germ cells
b. Leydig and myoid cells d. Sertoli cells and spermatid b. Leydig and myoid cells d. Sertoli cells and spermatid
viii. Vasopressin induces thirst by acting through: viii. Vasopressin induces thirst by acting through:
a. Subfornical organ c. Pretectal nucleus a. Subfornical organ c. Pretectal nucleus
b. Posterior hypothal. osmoreceptor d. Lamina Vasculosum b. Posterior hypothal. osmoreceptor d. Lamina Vasculosum
ix. All the following cause conductive deafness except, ix. All the following cause conductive deafness except,
a. Thickening of TM c. Chronic otitis media a. Thickening of TM c. Chronic otitis media
b. Immobility of the ossicles d. Labrynthitis b. Immobility of the ossicles d. Labrynthitis
x. Covid -19 most commonly involve : x. Covid -19 most commonly involve :
a. Type-1 Pneumocytes c. Skeletal Muscles a. Type-1 Pneumocytes c. Skeletal Muscles
b. Type-2 Pneumocytes d. Smooth muscle b. Type-2 Pneumocytes d. Smooth muscle