1.

Regarding Muscles all are true except

A. Deltoid is a multiple muscle

B. Dorsal interossei are multipennate
C. Cardiac muscle has striations
D. Parallel muscle fibers have great range of movement
E. Sartorius has parallel muscle fiber

2. Spinal nerves
A. Are formed in the intervertebral foramina
B. Distribution to the lower limb is through ventral rami
C. Supply the muscles and skin of posterior trunk through rami
D. Have dorsal and ventral rami with peripheral ganglion on the dorsal
E. All of above

3. Epimysium covers
A. Each muscle fibers
B. A bundle of muscle fibers
C. Whole of muscles
D. Tendons of muscles
E. Ligaments of joints

4. Low back pain has been now labelled as one of the public health problems because?
A. It is not considered as a disease but a constellation of symptoms
B. It is the leading cause of activity limitation and workdays lost per annum around the globe
C. It affects middle and old age people
D. It is more common in daily wage workers
E. It leads to multiple risk factors

5. The second layer of foot consists of

A. Quadratus plantae muscle and the four lumbricals
B. Quadratus plantae
C. Flexor digitorum brevis muscle
D. Peroneus layer
E. abductor digiti minimi 

6. Muscles forms extensor expansion of toes

A. Extensor hood or dorsal digital expansion
B. The Extensor Hallucis Longus.
C. The Extensor Digitorum Longus (EDL) 
D. The Extensor Digitorum Brevis
E. All of above

7. The point at which an impulse is transmitted form one neuron to another is called
F. Dendrite
G. Glial cell
H. Nerve center
I. Synapse
J. Terminal plate

8. Regarding Joints all of the below statement are true except

A. In syndesmosis 2 bones are united by interosseous ligament
B. Symphyses is secondary cartilaginous joint
C. Synovial joints are partially movable joints
D. The joint between the tooth and its bony scket is called gomphosis
9. In Wilson’s disease, there is?
A. Defective excretion of chromium into the bile
B. Decrease in the serum copper level
C. Decrease urinary excretion of copper
D. Increase serum cobalt level
E. Increase urinary excretion of chromium

10. Medial Planter Nerve Supplies

A. abductor hallucis,
B. flexor hallucis brevis,
C. flexor digitorum brevis
D. the first lumbrical
E. All of above

11. The quadratus plantae is a

A. A square muscle located deep to the flexor digitorum brevis muscle in the second layer at the sole of the foot
B. A rounded shape muscle located deep to the flexor digitorum brevis muscle in 1 st layer at the sole of the foot
C. A rounded shape muscle located on top of the flexor digitorum brevis muscle.
D. A Triangular shape muscle located deep to the flexor digitorum brevis muscle in 1 st layer at the sole of the foot
E. None of above

12. In skeletal muscle which of the following events occur before the depolarization of the T-
tubules in the mechanism of excitation contraction coupling?
A. Depolarization of sarcolemmal membrane
B. Opening of the Ca++ release channels on the Sarcoplasmic Reticulum
C. Uptake of Ca++ into the SR by Ca++ ATPase
D. Binding of ca++ to troponin C
E. Binding of Actin and Myosin

13.Excitation contraction coupling involves all the following except?

A. Release of Ca++ from troponin
B. Formation of cross bridges between actin and myosin
C. Spread of depolarization along the transverse tubules
D. Hydrolysis of ATP to ADP
E. Release of K+ ions

14. Which one of the following is not a fibrous joint

A. Symphysis
B. Sutures
C. Syndesmosis
D. Gomphosis
E. Interosseous

15. Which of the following causes rigor in skeletal muscles

A. Lack of action potentials in motor neurons
B. An increase in intracellular Ca++ level
C. A decrease in ATP level
D. A decrease in intracellular Ca++ level
E. An increase in ATP level
16. Energy of muscle contraction is derived from the following except?
A. ATP
B. Muscle glycogen
C. Creatine phosphate
D. Glucose
E. Lactic acid

17. In skeletal muscle which of the following events occur before the depolarization of the T-tubules in the
mechanism of excitation contraction coupling?
A. Opening of the Ca++ release channels on the Sarcoplasmic Reticulum
B. Uptake of Ca++ into the SR by Ca++ ATPase
C. Depolarization of sarcolemmal membrane
D. Binding of ca++ to troponin
E. Binding of Actin and Myosin

18. The resting potential of a myelinated nerve fiber is primarily dependent on the concentration gradient
of which of the following ions?
A. Ca+
B. Cl–
C. HCO3–
D. K+
E. Na+

19. Standard amino acid which contains imino group is?

A. Lysine
B. Glycine
C. Arginine
D. Proline
E. Valinexylations

20. Mineral required for Polymerization of the pancreatic hormone, insulin is?
A. Copper
B. Chromium
C. Coblat
D. Zinc
E. Calcium

21. The normal range of ionized calcium in plasma is?

A. 2-4 mg/dl
B. 2-4 mEq/L
C. 4-5 mEq/L
D. 9-11 mg/dl
E. 4-5 mg/dl

22. Osteomyelitis is caused by?

A. Ameoba
B. Parasite
C. Virus
D. Chlamydomonas or any other algae
E. None of above
23. An adult male patient was undergoing an abdominal surgery in the operation theatre under general
anesthesia. The anesthetist administered him an injection of vecuronium (skeletal muscle relaxant) to
optimize the surgery. This drug relaxes skeletal muscle by blocking which of the receptors at the
neuromuscular junction?
A. Alpha-adrenergic
B. Beta-adrenergic
C. Muscurinic
D. Ryanodine
E. Nicotinic

24. The epiphysial growth plate in developing bone is formed by?

A. Elastic cartilage
B. Hyline cartilage
C. Fibrocartilage
D. Compact bone
E. Spongy bone

25.When energy reserves in a muscle are exhausted and Lactic acid is increased, the condition is called?
A. Tetanus
B. Treppe
C. Fatigue
D. An oxygen debt
E. Spasm

26. When energy reserves in a muscle are exhausted and Lactic acid is increased, the condition is called?
F. Tetanus
G. Treppe
H. Fatigue
I. An oxygen debt
J. Spasm

27. Which of the following nerves is closely related to the spiral groove of humerus bone?
A. Median nerve
B. Musculocutanous nerve
C. Axillary
D. Ulnar
E. Radial

28. Which of the following nerves is closely related to the spiral groove of humerus bone?
A. Median nerve
B. Musculocutanous nerve
C. Axillary
D. Ulnar
E. Radial
29. 42 years old lady has increasing muscle weakness and diagnosed as a case of mysthenia gravis. She is
treated with acetylcholine esterase inhibitor neostigmine and reports improved muscle strength soon
after starting treatment. The most probable cause of this improvement may be
A. Decrease uptake of choline by presynaptic neurons
B. Increased number of nicotinic receptors at neuromuscular junction
C. Increased acetylcholine synthesis at nerve terminals
D. Decreased acetylcholine break down at neuromuscular junction
E. Increased frequency of action potentials in nerves

30. In the adult, the lower end of spinal cord lies at the level of lower border of the body of the
A. Second lumber vertebra
B. Third lumber vertebra

C. Fourth lumber vertebra

D. First lumber vertebra

E. Fifth lumber vertebra

31. Skeletal Muscles physiology

A. A highly organized tissue composed of bundles of muscle fibers called myofibers 
B. An organized tissue composed of some muscle fibers called myofibers 
C. A normal tissue composed of muscle fibers called myofibers 
D. Muscle action potential smaller during tetanic contraction
E. None of above

32. The increase in total mass of muscle is called

A. Ischemia
B. Macules Fatigue
C. Muscles stress
D. Atrophy
E. None of above

33. The muscle contractures develop due to

A. Inactivity and scarring from an injury or burn
B. Over use of muscles for longer period of time
C. Denervation atrophy of muscles fiber leading to replacement of muscle tissues by fibrous tissues
D. Increase in Ca+2 release from sarcoplasmic reticulum (SR) 
E. Both A and C
34. In Poliomyelitis
A. All nerve fiber to a muscle are destroyed
B. There is decrease in fine control of moment
C. There is a formation of micromotor units
D. A and C
E. A,B,C
35. Ach-estrase inactivating activity is possessed by
A. Neostigmine
B. Physostigmine
C. Diisopropyl fluorophosphate (DFP)
D. All of above
36. Fat superficial fascia is absent in
A. Face
B. Nose
C. Breast
D. Dorsom of hand
E. Scapular region

37. A symphysis
A. Is primary cartilaginous joint
B. Does not allow any movement
C. Does allow some movement
D. Contains a fibrocartilage disc
E. Is usually located in limbs

38. Which of the following ellipsoid joints presents?

A. between the knuckle joints,
B. wrist joints,
C. metacarpophalangeal joints
D. and metatarsophalangeal joints of fingers.
E. All of above
39. Retinacula are thickening of
A. Dermis
B. Deep fascia
C. Superficial fascism
D. Capsule of joints
E. Tendon of muscles

40. In adults end arteries found in all of the following except

A. Retina
B. Brain
C. Joints
D. Kidneys
E. Liver
41. Regarding bones
A. Long bones have on epiphysis and two diaphysis
B. Intracartilagenous ossification is also called mesenchymal ossification
C. Pneumatic bones contain large fluid space
D. Sesamoid bones have no periosteum
E. Membranous bones ossify in cartilage

42. Which of the following is a type of synovial joint?

A. Ball and socket joint,
B. Pivot joint and
C. Hinge joint 
D. Cartilaginous joint
E. A,B and C
43. The hip joint is
A. the Largest ball and socket joint in the body which remains stable during twisting and extreme ranges
of motion.
B. the Medium ball and socket joint in the body which remains stable during twisting and extreme ranges
of motion
C. The synovial joint in the body which remains stable during twisting and extreme ranges of motion
D. A and C
E. B an C

44. Hinge joint present in the

A. Elbow is a synovial joint surrounded by cartilage
B. Ankle and knee joints and can rotate up to 180 degrees maximum
C. Ankle and knee joints and can rotate up to 360 degrees maximum
D. Both A and B
E. A and C

45. Joints make the skeleton flexible and it would be impossible to move without joints.
Vitamin D and estrogen are important for musculoskeletal health.
46.