Department of Physiology

Bankura Sammilani Medical College. Bankura

Date 06/11/2020, Second Semester Theory Examination of 1st Prof MBBS batch 2019-2020
Full Marks – 100. Time- 3 hours(12.00- 3.00pm), Uploading Time 3pm-3.30pm
Attempt all questions

Group A

1. Define pain? With proper diagram describe the pathway of fast pain. Explain how
pain is inhibited by the body. With example explain what is referred pain?
1+ 6+ 6+2

2. Name the hormones synthesised by thyroid gland. Discuss how secretion of thyroid
gland is regulated. Describe in brief the features of hypothyroidism and explain their
physiological basis. Why goitre is common in sub Himalayan region? What is
cretinism?

2+4+7+1+1

Group B

1. Describe how sound waves are converted to electrical impulses in the ear. What is
deafness? Classify deafness and mention their causes. Name the tests for diagnosing
deafness and explain how they differentiate the types of deafness.
4+1+2+3
2. What is cystometrogram? What are the different phases of it? State 2 reasons for the
flatness of the plateau phase. With the help of a diagram, explain how deafferentation
affects voiding reflex. Discuss the source of the abnormal constituents of urine.
1+1+2+3+3
3. Describe the stages of Spermatogenesis with the name of the hormones at each stage.
How is the process helped by Sertoli cells? Discuss briefly the process of fertilisation.
What is the difference between azoospermia and asthenospermia?
4+2+3+1
Group C
Write short note on 5x2
1. Muscle spindle
2. Cushing’s syndrome

Group D 5x4
Give the physiological explanation of the following:
1. Lesions of optic tract causes homonymous hemianopia of opposite side
2. Sympathetic nervous system is considered as the pathway for “fight or flight”
response.
3. Hyponatremia occurs in diabetic ketoacidosis
4. Intention tremor is found in cerebellar lesion

Group E 2x5
Multiple choice questions (select only one answer)

1. In the presence of light there is

a) Inhibition of Bipolar cells by glutamate
b) Activation of cGMP Phosphodiesterase*
c) Efflux of Na+ stops but influx continues
d) Partial depolarization occurs
2. Which of the following is not a way in which combined oral contraceptive pill
works to prevent conception?
a) prevents ovaries to release ovum
b) boosts a woman’s immunity so her antibodies attack sperms*
c) changes the lining of uterus so a fertilised egg is less likely to implant and
survive
d) thickens cervical mucus so it is harder for sperm to penetrate
3. In LTP low threshold stimulus stimulates
a) AMPA receptor*
b) NMDA receptor
c) Both AMPA and NMDA receptor
d) Glutamate receptor
4. Which is true about HCO3 reabsorption in renal tubule?
a) Filtered HCO3 reabsorbed by secondary active transport
b) Like glucose it has Tm
c) Not the filtered HCO3, but a newly formed HCO3 is reabsorbed*
d) Reabsorption of HCO3 don’t depend upon plasma level.
5. All are features of panhypopituitarism, except
a) Infertility
b) Pigmentation*
c) Loss of secondary sexual characters
d) Cold intolerance