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INICET PYQ DISCUSSION

ANATOMY
Dr Ashwani Kumar
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Which of the following foramen is located between three bones?


A. A B. B C. C D. D

D
C
FORAMEN LACERUM

1. Sphenoid bone
2. Apex of the petrous temporal bone
3. Basilar part of the occipital bone
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

5. Which of the following structure passing through jugular foramen has separate passage?
A. CN IX B. CN X C. CN XI D. CN XII

JUGULAR FORAMEN

IX, X, XI

Meningeal br of
Asc phy art &
occipital art.

Inferior
petrosal Sigmoid
sinus sinus
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. 3rd part of vertebral artery is related to which of following?


A. A B. B C. C D. D

A D
IV PART
III PART

II PART

I PART
1st part of subclavian artery
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. 3rd part of vertebral artery is related to which of following?


A. A B. B C. C D. D

A D
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Which of the following is/are true regarding marked area in the given image?
1. Marked area is pterion
2. Formed by temporal, parietal, sphenoid and maxillary bone
3. Side way blow to head can cause fracture in this region
4. Accessory meningeal artery lies deep to it.

a. 1,4
b. 2,3,4
c. 1,2,4
d. 1,3
ANATOMY- Dr Ashwani Kumar
Parietal bone Frontal bone

Pterion

Squamous portion of Greater wing of the sphenoid


the temporal bone
ANATOMY- Dr Ashwani Kumar

Relations-
▪ Anterior division of the middle meningeal vessels
▪ Middle cerebral vessels
▪ Sylvain fissure
▪ Insula
▪ Broca's motor speech area (on the left)
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Which of the following is/are true regarding marked area in the given image?
1. Marked area is pterion
2. Formed by temporal, parietal, sphenoid and maxillary bone
3. Side way blow to head can cause fracture in this region
4. Accessory meningeal artery lies deep to it.

a. 1,4
b. 2,3,4
c. 1,2,4
d. 1,3
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. A patient with fracture of the base of skull extending to marked foramen will be the
presenting with which of the following symptoms? V3 nerve (F. Ovale)
a. Loss of general sensation over anterior 2/3 tongue VII nerve (Int Acoustic meatus)
b. Loss of taste sensation over anterior 2/3 tongue
c. Loss of taste sensation over posterior 1/3 tongue IX nerve (Jugular F.)
d. Motor function of the tongue lost
XII nerve (Hypoglossal canal)
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Identify the marked Foramen in this butterfly shaped bone?


a. Foramen Rotundum
b. Foramen Ovale
c. Vidian’s Canal
d. Foramen Spinosum
F. Rotundum- V2 nerve

Vidian’s canal (GPN+DPN)


INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

All of the following nerves are associated with ocular movements except?
A. A B. B C. C D. D

A- optic nerve
A B- oculomotor nerve
C- Trochlear nerve
D- Abducent nerve
B

D
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar
Q. TRUE about trigeminal nerves
a. ATN is a branch of anterior division of mandibular nerve
b. Buccal is a branch of posterior division of mandibular nerve
c. Medial pterygoid is innervated by trunk
d. Posterior division branches are sensory
INICET PYQ RECALL Vagus nerveANATOMY- Dr Ashwani Kumar

Q. Patient having paradoxical respiration, which of the following nerves will be affected?
A. A B. B C. C D. D

PHRENIC NERVE B X NERVE


A
C SYM CHAIN

D RL NERVE
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Marked structure opens in which of the following


a. Superior meatus
b. Middle meatus
c. Inferior meatus
d. Sphenoethmoid recess
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Identify the structure that does not form the laryngeal skeleton
A. A B. B C. C D. D
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which of the following is not a branch of facial artery?


A. Lateral Nasal
B. Dorsal nasal artery
C. Superior Labial
D. Inferior Labial
Cervical branches Facial branches
ICA
STAG a. Inf labial a.
Opthalamic a. Submental a. b. Sup labial a.
Tonsilar a. c. Lateral nasal a.
Anstomosis Dorsal nasal a. Ascending palatine a. d. Angular a.
b/w ICA & ECA Glandular a.
d
c

ECA
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Inferior thyroid artery supplies which of these parts-


1. Thyroid gland
2. Para thyroid gland
3. Oesophagus
4. Thymus

Select the correct answer from the given below code:


A. 1 and 3
B. 1, 2, 3
C. 1, 2, 4
D. 1, 2, 3, 4
Muscular branches- infrahyoid muscles, scalenus
anterior and the inferior pharyngeal constrictor.

Ascending cervical artery- spinal branches

Inferior laryngeal artery- supplies the laryngeal muscles


and mucosa

Pharyngeal branches -lower part of the pharynx,


esophageal branches, ascending glandular branches
supply the posterior and inferior regions of the thyroid
gland, parathyroid glands
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which is the nerve arising from the marked place?


A. Trigeminal
B. Abducens
C. Facial
D. Vestibulocochlear
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which statements are correct about the internal capsule?


1. Charcot’s artery supplies the posterior limb
2. Retro lenticular part of the internal capsule contains optic radiation
3. Anterior limb of the capsule contains Corticonuclear tract fibres of the
upper limb and face
4. Internal capsule has projection fibres

A. 1,3,4
B. 2,3,4
C. 1,2,4
D. 1,2,3
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which statements are correct about the internal capsule?


1. Charcot’s artery supplies the posterior limb
2. Retro lenticular part of the internal capsule contains optic radiation
3. Anterior limb of the capsule contains Corticonuclear tract fibres of the
upper limb and face
4. Internal capsule has projection fibres

A. 1,3,4
B. 2,3,4
C. 1,2,4
D. 1,2,3
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Marked cell in the given histological section is inhibitory to:


A. Vestibular nuclei
B. Deep nuclei of cerebellum
C. Anterior horn of spinal
D. Basal ganglia
CEREBELLAR CORTEX

INHIBITORY

INHIBITORY

INHIBITORY

EXCITATORY
INHIBITORY

Only efferent from CORTEX

Inhibitory to DEEP CEREBELLAR NUCLEI


INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which are the cells present in molecular layer of cerebellum:


1. Purkinje cells
2. Granule cells
3. Basket cells
4. Stellate cells

A. 1,2
B. 1,3
C. 3,4
D. 2,3
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Where does the marked structure arise from?


A. Amygdala
B. Hippocampus
C. Caudate nucleus
D. Mammillary body
The fornix is a large bundle of projection fibres, which connects the hippocampus with the
mammillary body. It constitutes the sole efferent system of the hippocampus.

The fibres of fornix arise mainly from the pyramidal cells of the hippocampus
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar
Mention the arterial supply of the marked structure?
A. Anterior Cerebral Artery & Middle Cerebral Artery
B. Anterior Cerebral Artery & Posterior Cerebral Artery
C. Anterior Cerebral Artery & Anterior Communicating Artery
D. Posterior Cerebral Artery & Middle Cerebral Artery
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Anterior pericallosal artery


Posterior pericallosal artery

ACA PCA
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Fibres from the labelled structure end in which thalamic nuclei?


A. Anterior
B. Ventrolateral
C. Median
D. Posteromedial
CINGULATE GYRUS

HIPPOCAMPUS

FORNIX

MAMMILLARY BODY
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Lower motor neuron of which cranial nerve is expected to be seen in the marked
region the given sagittal section?
A. Trochlear nerve
B. Facial nerve
C. Abducent nerve
D. Vagus nerve
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

A woman presented to the hospital with loss of sensation in right upper and lower
limbs. She also complains of shooting pain from her fingers the right shoulder and a
burning sensation. Motor functions are normal. Which of the following structures is
likely to be involved?
A. B Thalamic pain syndrome
B. D
C. A
D. C
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Arrange the following cells in the order of basal to luminal side?


1. Spermatogonium
2. Spermatozoa
3. Primary spermatocyte
4. Spermatid

Select the correct answer from the given below code:


A. 2- 4- 3- 1
B. 1- 3- 4- 2
C. 3- 4- 2- 1
D. 1- 2- 3- 4
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which of the following is/are derived from the marked structure?


1. Odontoblasts
2. Sympathetic chain
3. Melanocytes
4. Nephrogenic cord
5. Bulbus cordis
6. Conotruncal septum

A. 1,3,5,6
B. 2,3,4,6
C. 1,2,3,6
D. 1,2,3,4
Neural crest
cells
▪ All ganglion
▪ Enteric plexus
▪ Schwann cells
▪ Adrenal medulla
▪ Parafollicular C cells
▪ Melanoblast/cyte
▪ Skull bones (most)
▪ Dentine (odontoblast)
▪ Pharyngeal arch cartilage
▪ Dermis of H&N
▪ Conotruncal septum
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

What is the embryological origin of the blue marked structure?


A. Common Cardinal vein
B. Sub cardinal vein
C. Sacrocardinal vein
D. Supra cardinal vein
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

A child with absent thymus and presented with and tetany. Which of the followed
marked area in the given image is defective in this Condition?
A. A
B. B
C. C
D. D
1st pouch – Inner layer of TM, tympanic cavity, auditory tube & mastoid antrum

2nd pouch- Palatine tonsil

3rd pouch- Thymus & inferior parathyroid gland

4th pouch- Superior parathyroid gland

Remnant of 5th pouch- Ultimobranchial body

Most common micro-deletion syndrome

DiGeorge syndrome (22q11 deletion syndrome)

Absent thymus & hypoparathyroidism


INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Incorrect match about the pharyngeal arch artery derivative?


a. 1st Arch – Maxillary Artery
b. 2nd Arch – Hyoid And Stapedial Artery
c. 4th Arch – Proximal Right Subclavian Artery
d. 6th Arch – Arch Of Aorta
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which part of scapula is seen in infraclavicular fossa?


A. A
B. B
C. C
D. D

•A- Superior angle of scapula


•B-Coracoid process
•C-Acromion process
•D-Infraglenoid tubercle
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

In a subclavian artery block at outer border of 1st rib, which of the following
arteries help in maintaining the circulation to upper limb?
1. Suprascapular artery
2. Superior thoracic artery
3. Thyrocervical trunk
4. Subscapular artery

Select the correct answer from the given below code:


A. 1, 2, 3 and 4
B. 1,3 and 4
C. 1 and 3
D. 1, 2 and 3
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Muscle attached to marked area:


A. Abductor pollicis longus
B. Palmar interosseous
C. Opponens pollicis
D. Flexor pollicis brevis
Opponens pollicis

Abductor pollicis longus


INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Book test is to assess which of the following?


a. Median
b. Ulnar AIN
c. Radial
d. PIN Compensation by FPL muscle
Ulnar nerve

Adductor pollicis Flexion of IP joint


INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Which of the following is not forming the boundary for the triangle of safety?
a. Post edge of pectoralis major
b. Ant border of latissimus dorsi
c. Horizontal line from nipple
d. Midclavicular line
•Pectoralis major anteriorly
•Latissimus dorsi posteriorly
•Inferiorly, by a horizontal line from the nipple
(commonly the 5th intercostal space)
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

What is seen in Klumpke's s palsy


a. Claw hand
b. Wrist drop
c. Policemen tip deformity
d. Horner's syndrome
Klumpke’s palsy

Lower trunk

C8, T1

Intrinsic muscles of hand

Hyperextension at MCP joints


Flexion at IP joints

CLAW HAND
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Actions of the muscle attached to the marked area of the bone?


A. Abduction and External rotation
B. Extension and Lateral rotation
C. Extension, adduction and Lateral rotation
D. Flexion and abduction
Gluteus medius
IR & Abduction at hip

Iliopsoas Gluteus maximus (on gluteal tuberosity)


Flexion at hip joint Extension & ER at hip joint
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Patient with positive Trendelenburg sign what is the action of the muscle involved?
A. Flexion
B. Lateral rotation and abduction
C. Abduction and internal rotation
D. Abduction and flexion.
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which of the marked muscle is responsible for flexion, abduction and


lateral rotation at hip joint?
a. A
b. B
c. C
d. D
A SARTORIUS
RECTUS D GRACILIS
C
FEMORIS
B VASTUS MEDIALIS
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which of the following marked structures are affected in the terrible triad of knee?
a. A, B, C
b. A, B, D
c. A, E, D
d. F, E, D C

A E

B
F
D
(1)Rupture of the medial collateral ligament
(2)Damage to the medial meniscus
(3)Rupture of the anterior cruciate ligament
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Identify the nerve passing around the marked structure :


A. Common Peroneal Nerve
B. Femoral Nerve
C. Sural Nerve
D. Tibial Nerve
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Structure forming the superior boundary of foramen indicated in the given image is:
A. Duodenum
B. Lesser omentum
C. IVC
D. Caudate lobe of liver
PORTAL VEIN,
HEPATIC ARTERY
& BILE DUCT

IVC, T12 & RIGHT


SUPRARENAL GLAND
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Which of the muscles make the pelvic diaphragm?


a. Deep Transverse Perinei
b. Pubococcygeus
c. Iliococcygeus
d. Obturator Internus

Choose the correct options from below code:


A. b, c
B. a, b, c, d
C. a, b, d
D. a and d
Levator ani

Pelvic diaphragm
Pubococcygeus
Iliococcygeus
Ischiococcygeus
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Injury to bulbar urethra would result in extravasation of urine to which of the


following sites except
a. Deep perineal pouch
b. Superficial perineal pouch
c. Walls of scrotum
d. Thigh
Injury to membranous Urethra
EXTRAVASATION OF URINE
Deep perineal pouch

Injury to spongy urethra

• Superficial perineal pouch


• Scrotum
• Anterior abd wall till floor of axilla
• Upper part of thigh till Holden’s line
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Identify the pelvic diaphragm in the image given:


A. A B. B C. C D. D

B
A

D
C
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar

Q. Which of the following is not branch of posterior division of internal iliac artery?
a. Iliolumbar artery
b. Lateral sacral
c. Superior gluteal artery
d. Internal pudendal artery
INICET PYQ RECALL ANATOMY- Dr Ashwani Kumar
Following appendicectomy bleeding is seen. Which of
the following artery should be ligated?
a. Ileocolic artery
b. Right colic artery
c. Middle colic artery
d. Superior mesenteric artery

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