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    2 views13 pages

    2019 - 2020 Proff. Paper VMMC

    Uploaded by

    Karan Soni

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    © All Rights Reserved
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    [riease write your Exam Rott No,) eam Roll to, BEM you ANNUAL EXAMINATION mi _ Finer Pror. [MBBS] Fesrvary-MArcn 2021 (pore Sade Papert! Subject: Physiology | so Maxtrum m Note: Attempt all questions from Part I and Ii as directed, Ponte Fave should be answered on separate answer sheets. Draw neat & labelled diagrams wherever necessary. aati PART-1 Ql Multiple choice Questions: (1x10=10) 1. The blood peripheral smear report of 42-year-old female suffering from polymenorrhoea showed: haemoglobin 7.2 g/dL, and mean corpuscular volume 75. A blood smear shows microcytic, hypochromic erythrocytes. Which of the following is the most likel diagnosis? t ‘ (@} Vitamin Biedeficiency anemia = {o) Iron deficiency anemia a-f,e {c} Autoimmune hemolytic anemia ff 2 Fes Tool (d) Folate deficiency anemia +a 2. A patient is concerned that her gums have been bleeding when ‘ee a has brushed her teeth for the past 3 weeks. Her prothrombin time (PT is 18 seconds, and her partial thromboplastin time (PTT] is 36 seconds. Her platelet count is normal. Laboratory analysis would most likely indicate a deficiency in which ef the following vitamins? (a) Vitamin A PT Hll-l2-$s (b) Vitamin K (c) Vitamin D PT7= 30-45 s (tlio te + commen) (@) Vitamin C 3. A 80-year-old woman presents with shoriness of breath upon exertion for 1 month, Electrocardiogram (ECG) reveals a heart block, During a procedure to implant a pacemaker, the following data are collected: Heart rate = 80 beats/min Left ventricular end diastolic volume = 110 mL, Left ventricular end systolic volume ~ 60 mL, Right atrial pressure = 4 mm Hg Wedge pressure = 2 mm Hg What is the cardiac output (L/min) of the patient? (a4 (b) 3 (a6 @s 7 . A 17-year-old boy presents to the urgent care facility with * shnrtnee of breath and wheezing after jogging for 1 mile. Physical exam reveals a heart rate of 110 and respiratory Tate of 27. He is Geing accessory muscles for respiration, and wheezing is noted on eapiration. If his tidal yolume is 300 mL, Dead space volume is 150 SnL, what is his alveolar ventilation (in mL/min)? " po PTO. P ‘Scanned with CamScanner ren Kenulaton of Sct eee Regulation of accreuon ef plea of negative feedback EXCEPT koeyte extravasation, wt wrmally the fret to’ ext ine the 10, Which of the following statements is true for both pinocytosis and —_ phagceytosis? volves the recruitment of actin faments Wiocytouc vesicles fuse with ribosomes that release frolases into the vesicles ly ebserved in macrophages and neutrophils Does not require ATP er Pro. P ay Nixes hstar or sy cortical ® usta medulla ‘anette a countrcureet mechan ‘Gundere occu! 49 Ue fale deters have piynoleee ay Diferentate between prchepatc. et joundice (4a gs gear an foaeai eenkee te pa ae ao iy wn the thorning, The pauent hav P alt res ate and post Beas ‘Scanned with CamScanner Na (cl In a routine examination of a 65-year old male, glucose appeared in urine, his blood glucase was 330 mg/dl. (2#3=5) (i) Define renal threshold and give normal value of renal threshold for glucose? (i) Explain the physiological basis of the phenomenon of SPLAY in the observed in renal glucose reabsorption curve. (d) A 21-year-old woman presents to her primary care physician because she wants to begin an exercise program for weight loss. She is concerned because when she exercised in the past, she noticed that her heart seemed to beat rapidly. After a thorough physical examination, everything appears to be normal and the physician reassures the patient. (2+3=5) {i) Discuss the physiological basis of increased heart rate experienced by the lady during exercise? (ii) Explain how does muscle blood flow increase during exercise? v b H “9 £ *< ‘Scanned with CamScanner 4. Ina healthy person, which of the following changes to scrum osmolarity and blood pressure result in the largest increase of serum antidiuretic hormone? (a) Decreased serum osmolarity and hypertension (0) Decreased serum osmolarity and hypotension (c} Increased serum osmolarity and hypertension (d) Increased serum osmolarity and hypotension 5. A 2l-year-old woman presents with weight loss, nervousness, sweating, and fatigue. Her neck examination shows a soft, diffusc, nonnodular midline mass that is mobile on swallowing. Mild exophthalmia is also noted. Her Testing pulse is 100/min and blood pressure 135/90 mm Hg. The patient's thyroid function tests are as follows: ‘Scrum TSH 0.2 mU/ (0.5-5.0 mU/L} Total thyroxine (TT4) 14 g/d (5-12 pe/dLy Which of the following diseases best fits this patient's clinical presentation? (a) Addison's disease fb) Hashimoto's discase (c) Cushing’s disease [d) Graves’ disease P.T.0. ‘Scanned with CamScanner 4 Write brletiy: @ @ 1s ay ay, em Ping ~ reales rene an, Peg RE ee tig Cit Eta AE lave membraae oping NORE MSE Wong tense 8. The rod Frcepior potenta! ‘meitalon ft she ‘ter feom ets 4 fF ReMBOFY EeeptOrN ie that cx by prrodenr — bitte J SAT, pesapiie ‘Long Question: eine diabetes mel ove, Describe bie ite pathophysiology. Enascrate two tute complicate of dates mila wed denen the Caled tae o i. ueeronio| Short note/ Flow chart/ Diagram 405-20) (e) Draw a disgram showing hormonal changes during diferent phases of jeaetrual eycle SS Jrew 2 diagram ahowing action poteatial in a nerve fibre “Draw a diagram of muscle spindle 2 [dt Draw a diagram of electroencephalogvam during NREM sleep ofan adult axs=10) Tei Write your refections en the emotional turmoil of the fay rnembers of terminally il patient Ce wnmimeereencni mur en . was vc ra wt ne, Rom surg ee A i eee ra fs cy eae qe Ne Epa ‘Scanned with CamScanner 2 es scr popnaa, wih complaints of 2 BS at abe bee mere ee ask Vas a(leave write your Ream Rol! No.) Qi » 2 3a 4) 3) 6) so: Attempt all questtons from Part I and I as directed. PartI & Parti should be answered on separate answer sheets, Draw neat & sultable Subject: Anatomy! | Maximum Marks: 100 labelled dtagrams wherever necessary. PART.I Mco's ie (2X10+20) A 10 year old boy presented to the emergency with fresh blecdi fight with his cla Rn fresh bleeding from the nose, after a Dretaimet his classmate in school. Which of the folowing blood veases ls involved (nthe 8) Posterior ethmoldal b) Inferior Labial €) Sphenopalatine 4) Lesser Palatine 4 40 year old patient came with headache, fever and stiffiess in neck and was diagnosed as a case Meningitis. The physician wanted to evaluate the biochemical analysis of Cerebrospinal fluid (CSF). Which ONE of the following would be the choice of tapping the needle for withdrawal of CSF? 8) T-12 and Let b) Li and 2 ©) L2and 3 d) LS and 4 Which structure has bone regenerative capacity, Sharpey's fibres and is pain sensitive? 1) Osteoblast b) Bone marrow c) Osteoclast 4d) Periosteum A.9 year old boy has an oper. fracture of the upper end of radius which got infected. Which of the following anatomical features best explains osteomyelitis in children: ‘a) Hair pin bends of the vessels at the metaphysis b) Nutrient artery entering perpendicular to long axis of bone ¢) Lack of anastomosis between epiphyseal and metaphyscal vessels 4d) Ton- fusion of epiphyseal cartilage ‘A young man was driving his motoreycle at high specd when he hit an obstacle and \was thrown to the ground. He fell on his left shoulder so that shoulder and the neck were widely separated. On examination, his left upper limb is adducted, medially rotated at the shoulder while the elbow is extended. The forearm was also pronated. Injury to which of the following combinations of nerve roots could produce this condition. 8) C24 bj C56 C78 4) 71-2 Id man complained of extreme pain in the right ear following an episode i i in hearing and f mild fever and cold. He also complained of slight decrease presence of stully sensation in the car. According to the signs and symptoms, ‘Analyze the cause of the above clinical condition? 8.23 years ol Pro. i ‘Scanned with CamScanner & qu am qv evi n 8) % -«t0ON st hay a) Paralysis of the Auditory nerve nerve ¥) Middle ear Infection following Auditory tube blockage ©) Infection of Adenoid 4) Cerebrovascular accldent/ Storke Aer the endien! mastectomy of a patient with eareinoma of breast a patient exhibited promincnce of the medical border of the scapula while attempting to push Against wall. Which nerve is perhaps severed by the surgean during the operation? 8), Lateral pectoral nerve 1b) Medical pectoral nerve ©) Long thoracic nerve 4) Dorsal scapular nerve AA patient complains of marked diminution of position sense, vibration sense, and Stercognosis ofall extremities. Which colurin/teact fs likely to be involved? a) Lateral columns of the spinal cord ¥) Dorsal colursns of the spinal cord, €}. Anterior spinothalamic tract 4) Lateral spinothalmie tract Desmosomes are common in which of the following strata of the skin? 8) Germinativum b) Spinosum, ©) Lucidum 9) Granulosum 10) Corncoid process is an example of which type of epiphysis? 9} Atavistic b) Aberrant ©) Pressure ¢) Traction Enumerate the following: (3x5-15) 8} Supinators of the forcarm with their nerve supply. 1D) White matter of cerebrum with examples, ©) Derivatives of 1* pharyngeal arch \ d) Muscles of soft palate with nerve supply ©)_Funetional colurin nuclei of &X cranial nerve _ a Draw labelled diagram to show: (x9-15) 1 Microscopic anatomy of Cerebellum, b) Relations of Shoulder joint ©] Microscopic structure of lymph node. PART-II A 4Byear old male underwent Right partial parotidectomy surgery, He comes to the OPD {for follow up with the complaints of sweating on the right cheek while cating. Answer the following questions for this scenario: (Sx3*15) 8} Discuss the relations and structures within the parotid gland, ) Prepare of flow chart of the nerve supply to the parotid gland. ©) What js the anatomical basis of the sweating while eating in this patient? Write short note on the following: (Sx5=25) 8) Differentiate between Klumpke and Exb’s paralysis b)_ Prepare a fow chart of Visual pathway, AR Compare and concrast types of cartilage Cy Tabuiate the nerve supply and action of extraocular muscles, Discuss embryological basis of Thyroglossal eyst. y Write a briefly om the following: [Sx2=10) @) Development of Tongue and its correlation with its nerve supply. b) Discuss the safe practices and Do's and Dont's in Dissection Hall, \ Bre N ‘Scanned with CamScanner hh+s® ® faye? (ease write your Exam Roll No.) Exam Roll No. ANNUAL EXAMINATION Finst Pror. [MBBS] Fenruary-Mancit 2021 [Paper Code: Paper-I Subject: ANATOMY. Time: 3 Hours Maximum Marks: 100 Note: Attempt all questions from Part I and Il as directed. Part-I & Part-II should be answered on separate answer sheets. Draw neat & suitable Qi labelled diagrams wherever necessary. PART Mas. (2110-20) Wy Anewborn baby has heart ond pericardium protruding out through the chest wall. What is the likely diagnosis? 9) Tracheo-esophngeal fistula 1b) Ectopia cordis ©) Situs Inversus 4} Tetralogy of Fallot 2) An infant is born with lumbosacral swelling which has remnants of all three germ -—__ layers, What is the reason behind this swelling? 'a) Persistence of primitive streak, b) Spina bifida ©) Yolk sac defect, 4) Ectopia cordis 3) A 85-years-old chronic smoker presents with pain the right lower limb. An intern wants to palpate his peripheral pulse, During examination, she placed her finger on the dorsum of the foot and recorded a fecbie pulse. Which artery is usually palpated fon the dorsuim in the first inter metatarsal space? 4) Anterior tibial artery b) Posterior tibial artery <}_ Dorsalis pedis artery a Peroneal artery 4] Which artery prevents the horseshoe kidney from ascending high into the abdomen: 9) Celiac trunk b) Superior mesenteric artery ©). Inferior mesenteric artery d) Left renal artery 5} A 16 years old high school football player is brought to casualty. On examination his right lower limb is affected and shows swelling around the knee. Dorsalis pedis artery pulsation is normal, Neurological examination reveals impaired dorsiflexion of the foot with decreased sensation in the space between first and second tor. Which of the following nerve is affected? a} Femoral b) Superficial peroneal ©) Saphenous d) Deep peroneal 6) Allof the following are features of Turner syndrome EXCEPT 8] Female in appearance b) Webbed neck, ¢) Intellectual disability d) Absence of ovaries 7) Anew born child has bluish discoloration of the skin, particularly in the nailbeds and on the face. On echocardiography, his condition was found to be due to a congenital heart disease known as Fallol’s tetralogy. All of the following are features of this condition EXCEPT 8) Pulmonary stenosis b) Atrial septal defect P.T.0. ‘Scanned with CamScanner ©) Overriding of the aorta d)_ Right ventricular hypertrophy 8) A9% semester medical student was tol to eitend 4.9m semener melt told to attend to a pallent who had eanauined Some pone nbtnce te eed Pu emanate ete he telicwing ar sites of conniedone inte oesophagus Excoey ns SS 0) Lower border ofctendeariige That’ EXCEPT 1) Where iis crossed by ore arch 2] Where it fs ereseed by thoracie duct 4} Where itis paneca tntough opening in diaphragm 9) A 22.yearsold man suffering from carcinoma prostate, show ‘208 caliapse of 10 nnd Tit wercbrae te ivoy. The aprend tty caer Has probably taken place through- * a) Internal vertebral venous plexus B) Sacral canal ©}. Lymphatic vesscis 4) Superior rectal veins a} Testis Db) Large intestine 5) Lung a) Liver Qi Enumerate the following (axse1s} 8] Ligaments of spleen with contents § J ceric in tococe abdominal diaphragm and structures passing through them, Stroctur present within spermatic cod @) Structure forming tertiary wl €] Structures mainiining media fngioidinal ach of fot 10; Dice microsite malas Colon id in cic ep a : Ww a QUt Draw tabeled diagrams to show: 18318) 1b) Openings in the right atriun’ty ~H] Microscopie enatomy of vel ¢} Microscopie anatomy of lung PART-II QI’ A forty years old fat lady reported in emergency with severe puin in ue. ight - A ere tedatin fo tbe Sp ef Tight shoulder long with H/O. fever and hypochendiim rocnUon tarked tenderness was noted al the feel of Up of ninth vorniing. On examiner wedge of Anatomy and answer the flowing, (x6°28) Se ae Tentures and reations ofthe organ ewolved. " oe ae Fon eve of he onan nn onan! Den fain of PIN ‘Add a note on applied aspects. SN a NN eee QV Write short notes on the following: (sns25) Wig pare of eontrast right and left coronary arteries > SXhiein enatomica bast of poral hypertension Cae Analyze anatomical basis of femoral hernia Analy QTjow chart of branches of interna ae artery se Embryological basis of Atrial septel defects: OVI Wit ey on he LOM (se2-10) ao er ejogical basis of in vik fertilization —_ a) Ebon isn eel states ine dation Ba Ate Gp ‘Scanned with CamScanner ‘ne psi eeae Yo ada on dave snag (Please write your Exam Ret Noy exam Retina, RYE OOFFEM ANNUAL EXAMINATION inst ‘Prov, [MBBS] FenRuary-Manci Taper Seda pe Per Pn”. 'Y-MARCH 2021 Paper Code: Papert Subject: Dlochemistry ime: 3 Hours ee me ‘Maximum Marks: 100 fe: Attempt questions from Part land IT in separate answer sheets, Draw diagrams & flowcharts wherever necessary. Pactt Part A Answer the following multiple-choice questions and choose the si response: (20+15+25=60) a Je best (2x10°20), What is normal fasting blood glucose level? {a} 60-100 maya! ~ (8) 100-140 maya (c1 «140 me/al (4) 120 mg/l 2. Glycated Haemoglobin is called as Glycated due to Glycation of: (a) a chain of Hemoglobin (b) B chain of Hemoglobin = Ke (q Iron residue (6) All of the above | 3. Rate limiting enzyme of urea eycle is: (a) Carbamoy! Phorphate Synthetase I (CPS 1) (0) Carbamoyl Phosphate Synthetase Il (CPS Il) (c) Arginase (4) Omithine Transcarbamoylase (OTC) 4. Allopurine! used in the treatment of gout, is an example of (a) allosteric inhibition (b) suielée inhibition ‘ {c} competitive inhibition \ {2} noncompetitive inhibition “Which of the following lipoprotein haa cardioprotective role? fa) LOL (b) VLDL (c) HDs (4) Chylomicrons, 6. Phenyletonusia occurs due to Pepremitalanine Hydronjlase Defiency. (p) Phenyalanine Hydroxylase over Acuity. {c) Dihydrobiopterin Reductase over Activity {d) Tyrosine Hydronplase Deficiency. Bek Rule pro ‘Scanned with CamScanner ce RT HONS A et po Sad ‘ anos . i Ni-ecom tanperte ean exampe af (uFrcaed ttn 1b] Antiport ‘! (e) Secondary ecive tanspert + (i Syrmport All are components ef PDH complex excep: {a1 Thiamine Pyrophosphate (TPP) (1) Coensyme a & (el Vitamin A nape 9. Which oft alin are pores (stare, Tar Shatner ! tai 10, Wisch of the following i a marker enzyme for peronacmes?, (u) Prostaglandin H2 ayathase oy ss - C, R mt . List me various ope af jnundos, Write ther cue She basis of laboraiory Kinane. = ifauciice on te bane of aera? BOOED sa iy (x5-25) 1, Define Jaundice, Dilferensate pes 0 in brief various factors aeCCPEERETESSE ws ore the hi? Ln oe pote on is biachetcal basis, diagnostic ante rr const cate Seton ser ctesarne Bes} Pal ‘Scanned with CamScanner Bee = = ew ee 1 wah may (Please write your Exam Rott No.) exam nott vo. S24 SPO1AH A. tas | ANNUAL EXAMINATION

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