Practice Paper 2

1)

Second polar body is released

24 hours before ovulation

At ovulation
12 hours after ovulation
At fertilization

2)

False statement regarding timeline during developmental stages is

Fertilization occurs within 12-24 hours of ovulation

Blastocyst hatches out of zona pellucida at 5th day post-ovulation
Blastocyst adheres to endometrium on 6th day post ovulation
Utero-placental circulation begins by day 15

3)

Physiological hernia regress at

14 weeks
10 weeks
08 weeks
06 weeks
4)

Teratomas may arise from the aberrant migration of

Primordial germ cells

Hypoblast
Cytotrophoblast
Syncytiotrophoblast
5)

Non-closure of rostral neuropore leads to

Anencephaly
Rachischisis
Omphalocele
Gastroschisis
6)
Which of the following is least vascular structure in the Temporomandibular joint

Articular cartilage
Posterior part of Articular disc
Middle part of articular disc
Mandibular fossa
7)

Untrue about articular cartilage is

Covers the articular surfaces of all synovial joints

Is of hyaline variety in all synovial joints
No ossification with age
Is generally devoid of nerves, vessels and perichondrium
8)
Following statements describe the epithelial lining of various body
tubes. Choose the incorrect statement

Trachea: Pseudostratified ciliated columnar

Ileum: Striated columnar epithelium

Mucosa below pectinate line: Keratinized stratified squamous
Proximal prostatic urethra: Transitional epithelium
9)

Stereocilia are seen in

Epididymis
Central canal of spinal cord
Olfactory epithelium
Trachea
10) The following joint permits to do NO movement of head

Atlanto-occipital joint
Atlanto-axial joint
C2-C3 joint
C3-C4 joint
11) The type of joint between the xiphoid process and the body of sternum is
a

Symphysis
Synostosis
Synchondrosis
Syndesmosis
12) Following are given the types of synovial joints. Choose the incorrect pair

Talo-calcaneo-navicular: Ball & socket

Knee: Hinge
Atlanto-axial: Trochoid

Metacarpo-phalangeal: Ellipsoid
13) Epiphysio-diaphyseal joint is

Synostosis
Synchondrosis
Syndesmosis
Schindylesis
14) An 80-year-old woman has glands located in the mucous membrane
covering the uvula that are non-functional. Which ganglion is most likely
injured

Geniculate
Otic
Sphenopalatine
Trigeminal
15) Which of the following nerves doesnt pass through the cavernous sinus

Oculomotor
Trochlear
Mandibular nerve
Abducent
16) Which of the following pathway is involved in the ability to recognize an
unseen familiar object placed in the hand

Dorsal spinocerebellar tract

Anterior spinothalamic tract
Lateral spinothalamic tract

Dorsal column

17) A surgery performed in the thyroid region has damaged external

laryngeal nerve. The patient will be able to perform all of the following
laryngeal movements except

Abduct the vocal cards

Tense the vocal cords
Widen the rima glottidis
Adduct the vocal cords
18) The taste pathway from posterior 1/3 of the tongue goes through

Chorda tympani branch of Facial nerve

Greater petrosal nerve branch of Facial nerve
Superior laryngeal branch of Vagus nerve
Lingual branch of Glossopharyngeal nerve

19) Safety muscle of tongue

Styloglossus
Genioglossus
Palatoglossus
Hyoglossus
20) Primary auditory area

Inferior temporal gyrus

Supratemporal plane of superior temporal gyrus
Inferior frontal gyrus
Post central gyrus
21) All of the following features are seen in neurons from dorsal root ganglia
except

They have centrally located nuclei

They are derived from neural crest cells
They are multipolar
They contain lipofuscin granules
22) Parotid duct opens opposite to upper

1st molar
2nd molar
2nd premolar
1st premolar
23) Sympathetic activation leads to following changes in blood flow except

Gut

Decreased

Heart:

:Increased

Skin

:Increased

Brain

:Increased

24) Which of the following structures would be spared if the spinal cord is
crushed at the fourth cervical spinal cord level

Dorsal horn

Lateral horn
Duramater
Pia mater
25) Ptosis in Horner syndrome occurs due to paralysis of

Superior levator palpebrae

Orbicularis oculi
Orbitalis
Tarsal muscle

26) A lesion in the region of anterior spinal horn results in all of the following
except

Loss of muscle stretch reflexes

Loss of muscle bulk
Loss of superficial abdominal reflexes
Extensor plantar reflex

27) Sphincter pupillae develop from

Neural plate ectoderm

Surface ectoderm
Mesoderm
Neural crest cells
28) Severance of the oculomotor nerve can cause which of the following

conditions

Complete ptosis
A constricted pupil
Impaired lacrimal secretion
Paralysis of the ciliary muscle

29) Choose the wrong statement concerning the epithelial lining of the
following ducts

Bartholins duct had cuboidal epithelium

Bartholins duct has squamous epithelium
Sebaceous duct has cuboidal lining
Pancreatic duct has cuboidal epithelium
30) In epididymis sperms

Get stored
Get stored & capacitated
Get stored, mature & gain motility
Get stored, capacitated & gain motility
31) Wrong statement regarding Cauda Equina syndrome is

May result from intervertebral disc herniation

Lower motor neuron lesion
Symmetric saddle anaesthesia
Areflexia in the legs

32) Which of the following sinus lies in the margin of the tentorium cerebelli,
running from the posterior end of the cavernous sinus to the transverse sinus

Straight sinuses
Inferior sagittal sinus
Sphenoparietal sinus
Superior petrosal sinus

33) Spinal part of accessory nerve supplies

Sternocleidomastoid
Deltoid
Pectoralis major
Levator scapulae
34) Great vein of Galen is formed by union of

Superior sagittal sinus with vein of Galen

Inferior Sagittal sinus with vein of Galen
Two internal cerebral veins
Basal vein with inferior sagittal sinus
35) An eroded lesion in the jugular foramen may damage which of the
following pair of structures

Vagus nerve and internal carotid artery

Accessory nerve and Sigmoid sinus
Hypoglossal nerve and inferior petrosal sinus

Glossopharyngeal and inferior petrosal sinus

36) Not Mesodermal in origin is

Lung
Kidney
Heart
Uterus
37) Hirschsprungs disease is specifically known as

Congenital megacolon
Aganglionic megacolon
Congenital aganglionic megacolon
Congenital atretic aganglionic megacolon
38) What is incorrect regarding parasympathetic nervous system

Edinger-Westphal nucleus is responsible for pupillary dilation

Cholinergic drugs may cause frequency of micturition
Cholinergic activity induces salivation
Anticholinergic drugs may cause constipation
39) In which of the following muscle-nerve pairs is the muscle paired with the
nerve that innervates it

Tensor veli palatini-vagus nerve

Palatoglossus muscle-hypoglossal nerve
Cricothyroid muscle-recurrent laryngeal nerve

Anterior belly of digastric-trigeminal nerve

40) Following muscles are the abductors of eye except

Superior oblique
Superior rectus
Inferior oblique
Lateral rectus
41) Afferent component of corneal reflex is mediated by the nerve

Frontal
Facial
Nasociliary
Lacrimal
42) Which of the following structures pass through the superior aperture of
thorax

Right recurrent laryngeal nerve

Superior laryngeal nerve
Greater splanchnic nerve
Thoracic duct

43) A nerve is injured in the neck region and there is weakness in raising
right arm above head. The injury has damaged

Spinal accessory nerve

Long thoracic nerve of Bell
Suprascapular nerve
Dorsal scapular nerve
44) Which of the following muscles is involved in flexion of
metacarpophalangeal joint and extension of interphalangeal joint of the ring
finger

Flexor digitorum profundus

Lumbrical(s)
Extensor digitorum
Flexor digitorum superficialis
45) Muscles not supplied by ulnar nerve

Flexor pollicis brevis

Flexor carpi ulnaris
Medial half of flexor digitorum superficialis
Third lumbrical
46) Finger drop with no wrist drop is caused by lesion of

Radial nerve in the radial groove

Posterior interosseous nerve
Anterior interosseous nerve
Ulnar nerve behind medial epicondyle
47) Nerve supply to hypothenar muscles

Ulnar

Median
Radial
Musculocutaneous
48) Pancreas is supplied by all of the following arteries except

Coeliac
Splenic
Gastroduodenal
Inferior mesenteric

49) All of the following are contents of deep perineal pouch except

Membranous part of urethra

External urethral sphincter
Transversus perinei profundus
Bartholins gland

50) Bulbospongiosus forms a part of

Superficial perineal pouch

Pelvic diaphragm
Levator ani muscle
Urogenital diaphragm
51) Which of the following structures plays the least important role in the
support of the uterus

Levator ani
Sphincter urethrae
Uterosacral ligament
Arcuate pubic ligament

52) A patient experiences heart block as a result of occlusion of a branch of

the right coronary artery near the posterior interventricular sulcus. Which
structure was most likely affected by the vascular insult

Sino atrial node

A V node
Bundle of His
Vagal branches
53) All of the following statements are true regarding the entrapment
neuropathy of posterior interosseous nerve except

There occurs motor paralysis of extensors of all joints of thumb and knuckles
Extension is possible at the interphalangeal joints of the medial four digits
Attempted wrist extension causes marked radial deviation
The extent of anaesthesia is confined to a small area on the lateral part of
dorsum of hand

54) Thoracic duct

Begins at level of T10 vertebra

Enters thorax through aortic opening

Crosses from left to right at level of C7 vertebra
Lies anterior to oesophagus
55) Ductus arteriosus develops from

3rd arch artery

3rd cervical intersegmental
6th arch artery
7th cervical intersegmental
56) Non-spiral course of conotruncal septum gives rise to

Tetralogy of Fallot
Patent truncus arteriosus
Transposition of great arteries
Coarctation of aorta
57) Anterosuperior migration of AP septum leads to

Tetralogy of Fallot
Patent truncus arteriosus
Transposition of great vessels
Coarctation of aorta
58) SA node is supplied usually by

Left anterior descending artery

Right coronary artery
Circumflex artery

Posterior interventricular
59) Which of the following doesnt drain into coronary sinus

Great cardiac vein

Small cardiac vein
Middle cardiac vein
Anterior cardiac vein

60) Pen test in the hand is performed to assess the neuromuscular status of

Opponens pollicis
Flexor pollicis brevis
Abductor pollicis brevis
1st palmar interossei
61) Injury to radial nerve at wrist leads to

Wrist drop
Sensory loss on dorsal side of II finger
Paralysis of adductor pollicis
Loss of supination in extended position
62) Flexor pollicis longus has the same innervation as of the following muscle

Flexor digitorum superficialis

Palmaris longus
Pronator teres

Flexor digitorum profundus of middle finger

63) Dorsal scapular artery is related to the scalene anterior

Proximally
Distally
Anteriorly
Posteriorly
64) Patients left foot is plantar flexed and inverted. Which of the following
nerves has most likely been injured

Common fibular
Deep fibular
Superficial fibular
Tibial
65) An 83-year-old man has trouble walking. At his physicians office, he is
asked to stand on his right foot and his left hip drops. Which of the following
nerves is most likely damaged, causing his problem

Left inferior gluteal

Left superior gluteal
Right inferior gluteal
Right superior gluteal

66) The cutaneous nerve supply of the dorsum of foot is given below. Find
the correct statement

First interdigital cleft is supplied by superficial peroneal nerve

Most of the dorsum is supplied by the deep peroneal nerve
The lateral margin has tibial nerve territory
The medial margin has peroneal nerve supply
67) Demarcation of duodenum from jejunum is shown by

Ligament of Treitz
Superior mesenteric artery
Falciform ligament
Tail of pancreas
68) Not present at the level of pylorus

L1 vertebra
Hila of both kidneys
Tip of ninth cartilage
Neck of gallbladder
69) Transverse colon gets its blood supply from all the following arteries
except

Superior mesenteric
Inferior mesenteric
Ileocolic
Middle colic
70) A 62-year-old man has severe portal hypertension. Which portocaval
shunt can be created in this patient to help decrease his blood pressure

Left gastric vein to the splenic vein

Right gastric vein to the left gastric vein
Right renal vein to the right gonadal vein
Splenic vein to the left renal vein

71) During gastrocolostomy, a surgeon is ligating all arteries that send

branches to the stomach. Which of the following arteries may be spared

Splenic artery
Inferior pancreaticoduodenal artery
Left gastroepiploic artery
Proper hepatic artery
72) An obstruction of the inferior mesenteric vein just before joining the
splenic vein is most likely to enlarge which of the following veins

Middle colic vein

Inferior pancreaticoduodenal vein
Ileocolic vein
Left colic vein

73) Segment of liver lying between fossa for inferior vena cava and fissure
for ligamentum venosum is

1
4

4a
4b
74) A uterine support that extends from the cervix and the lateral fornices of
the vagina to the pelvic wall

Broad ligament
Round ligament of the uterus
Suspensory ligament of the ovary
Cardinal ligament

75) Right testicular vein drains into

Right renal vein

Left renal vein
IVC
Internal iliac
76) A 52-year-old man comes to the emergency department complaining of
severe abdominal pain. He is diagnosed with cancer involving the abdominal
oesophagus and fundus of the stomach. Which of the following neural
structures is most likely associated with the pain fibers involved with this
symptom

Greater splanchnic nerves

Lumbar splanchnic nerves
Postganglionic fibers from the celiac ganglion
Nerves from spinal cord levels T1 to T4
77) Wrong statement regarding popliteus is

Intracapsular origin
Causes flexion and medial rotation at knee joint
Locks the knee joint
Supplied by tibial nerve
78) Which of the following statements best explains the external sphincter
urethrae

Smooth muscle
Innervated by the perineal nerve
Lying between the perineal membrane and Colles fascia
Part of the pelvic diaphragm
79) A 56-year-old woman is diagnosed with a perforated duodenal ulcer.
During the surgical repair of this problem, the gastroduodenal artery is
ligated. After the completion of this operative procedure, which of the
following arteries will continue to supply blood to the pancreas

Inferior mesenteric
Left gastroepiploic
Proper hepatic
Splenic

80) Bochdaleks hernia is described below. Choose the incorrect statement

Commonest congenital diaphragmatic hernia

Occurs due to a defect in pleuro pericardial membrane
Is a postero-lateral defect in diaphragm

More common on left side

81) Fascia of Scarpa is

Deep fascia of thigh

Deep membranous layer of anterior abdominal wall
Superficial fatty layer of anterior abdominal wall
Superficial fascia of perineum
82) Following are the boundaries of epiploic foramen except

Free margin of greater omentum

Inferior vena cava
1st part of duodenum
Caudate lobe of liver
83) Narrowest part of male urethra is

Prostatic part
Membranous part
External urethral meatus
Internal urethral orifice
84) Nervous system is derived from

Ectoderm
Mesoderm
Endoderm
Notochord
85) Neural tube closure starts from which region

Cranial
Cervical
Thoracic
Lumbar
86) Which of the following brainstem nuclei is not derived from alar plate

Dentate
Inferior olivary
Occulomotor
Substantia nigra
87) 3rd ventricle is situated between

Within parietal lobe

Caudate nucleus and putamen
Within temporal lobe
Thalamus and hypothalamus

88) Preganglionic parasympathetic neurons are located in

Cervical and sacral spinal cord

Thoracic and lower lumbar spinal cord
Brainstem and sacral spinal cord
Thoracic spinal cord
89) Optic nerve arises from which cell

Rods
Cones
Ganglion
Bipolar
90) Which of the following is not carried by posterior column tract

Position sense
Temperature
Pressure
Vibration
91) Medulla oblongata is supplied by branches of all of the following arteries
except

Vertebral
Bulbar
Posterior spinal
Basilar
92) Which of the following muscles is damaged if a patient cannot flex and
medially rotate the thigh during running and climbing

Semimembranosus
Rectus femoris
Tensor fasciae latae
Sartorius
93) All are hamstrings except

Semitendinosus
Semimembranosus
Long head of biceps femoris
Short head of biceps

94) Clergymans knee is due to inflammation of

Suprapatellar bursa
Infrapatellar bursa
Prepatellar bursa
Popliteal bursa
95) Root value of knee reflex is

L- 2, 3
L- 3, 4
L- 4, 5
S- 1, 2
96) Following are the nerves and muscles of the leg. Choose the incorrect
pair

Tibial: Soleus
Deep peroneal: Peroneus brevis
Tibial: Tibialis Posterior
Common fibular nerve: Short head of biceps
97) Deltoid ligament is not attached to

Medial cuneiform
Medial malleolus
Sustentaculum tali
Spring ligament
98) The ligament which transfers weight of arm to the trunk

Costo-clavicular
Coraco-clavicular
Acromio-clavicular
Coraco-humeral
99) All are composite muscles except

Deltoid
Brachialis
Flexor digitorum profundus
Flexor pollicis brevis
100)

Root value of hand muscles is

C 5, 6
C 5, 6, 7
C 5, 6, 7, 8; T -1
C 8; T-1