UNIVERSITY PAPERS 2023

Anatomy Paper-I Date 03-02-2023, Friday Time : 3 marks- 100

Section-1

Write the following structured Long Question (any 1 out of 2)1x10=10 marks

1.Enumerate the muscles supplied by radial nerve and its branches. What is wrist drop?(3+3+4-10)

2.Enumeratements, muscles causing movements, nerve supply of shoulder joint. What is winging of
scapula? (3+3+2+2=10) 2×16-12 marks

Q.2 Write the following case-based scenario: (Any 2 out of 3)

1. A 25-year-old girl tried to commit suicide by slashing her wrist with a sharp knife. She was bleeding
profusely. Answer the following:(3+1.5+1.5-6)

a)name the structures lying front of the wrist

b) of which structure leads to profuse bleeding

c)Name the artery which lie in front of distal end of radius between the tendon of flexor carpi radialis
and brachioradialis and mention its clinical importance.

2. A 12-year-old boy suddenly started bleeding from nose. His parents stopped the bleeding by
pinching the nose and pouring cold water on nose. Answer the following:(1+3+2-6)

a Name the commonest cause of nose bleeding in children.

b What is little's area?

c)Enumerate arteries anastomosing in little's area

3. Lateral Medullary syndrome

Q.3 Write short notes (Any 3 out of 4) 3x6-18 marks

1.Bloodly of long bone

2. Draw and label microanatomy of Hyaline cartilage

3.Draw and label microanatomy of palatine tonsil

4. Development of Thyroid gland

Q4. Answer only in 2-3 sentences (Any 5 out of 6) 5x2-10 marks

1.Pivot joint.

2. Draw and label microanatomy of tongue

3.Classify compound epithelium

5.End arteries

6. Cleft lip

Section 2

Q.5 Write the following structured Long Question (Any 1 out of 2)

1.Name the muscles of tongue along with its nerve supply and the development. (2.5+2.5+5-10)

2.Name the surface and borders of parotid gland along with its nerve supply and clinical
importance.(2+2+3+3=10)

Q6. Write Short Notes: (Any 2 out of3) 2x6-12 marks

1)Flexor retinaculum

2)Posterior triangle of neck

3)Muscles of mastication

Q7. Write Short Notes: (Any 3 out of 4) 3x6-18 marks

1. Arterial supply of Internal capsule

2. Anterior horn of lateral ventricle

3. CSF circulation

4. Auditory pathway

Q8. Answer only in 2-3 sentences (Any 5 out of 6)5x2-10 marks

1.Motor speech area

2.Branches of axillary artery

3.Ape thumb deformity

4.Structures passing through jugular foramen

5. Branches of maxillary artery.

6. Blood brain barriers

Section-I

Q.1 Write the following structured Long Question (any 1 out of 2)

1x10-10 marks

1.Enumerate the boundaries and contents of Adductor canal. Give clinical importance of Adductor
canal(5+5=10)

2.numerate the movements, muscles causing movements, nerve supply of knee joint. What is
housemaid knee?(3+3+2+2-10)

Q.2 Write the following case-based scenario: (Any 2 out of 3)

2x6-12 marks

1. A person develops limp during walking after bullet injury in right buttock. There was sagging of the
left hip while walking. Answer the following:(1+2+3)

a) Name the nerve injured by bullet

b) muscles supplied by injured nerve

c) what is Trendelenburg sign

2. A boy is having colicky pain around umbilicus, fever, vomiting a day before and now having pain in
the region of right iliac fossa Answer the following: (1+3+2)

a) Name the affected organ.

b)Give anatomical basis of initial pain in umbilical region and later on in the region of right iliac fossa

c)What is McBurney 's point

3. A 60-y ear-old male, chronic smoker complained of alteration in voice, lost 15 kg weight and having
persistent cough with blood-stained sputum. A diagnosis of bronchogenic carcinoma was made
Answer the following.(2+1+3)

a) What is anatomical basis of occurrence of bronchogenic carcinoma more common in right lung as
compared to the left lung.?

b) What is the cause of hoarseness of voice ?

c) Mention the an atomical basis of metastasis of bronchogenic carcinoma to brain and bones

Q.3 Write short notes (Any 3 out of 4) 3x6-18 marks

1.Down syndrome

2.Blue baby syndrome

4.Draw and label microanatomy duodenum

Q4. Answer only in 2-3 sentences (Any 5 out of 6) 5x2=10 marks

a.Turner syndrome

b.Draw label microanatomy of ileum

c.Spermiogenesis

d. enumerate portocaval anastomosis

e. Perineal body

f. Annular pancreas

Section-II

Q.5 Write the following structured Long Question (Any 1 out of 2)

1.Name the blood supply, lymphatic drainage and supports of uterus (2.54+2.5+5-10)

2.Enumerate the boundaries and content of inguinal canal. What is inguinal hernia?(2.5+2.5+5-10)

Q6. Write Short Notes: (Any 2 outof3) 2x6-12 marks

A)Medial longitudinal arch

b) peripheral heart

c)Interior of anal canal

Q7. Write Short Notes: (Any 3 out of4) 3x6-18 marks

1)Pleural recesses

2) tributary of coronary sinus

3) mediastinal syndrome

4) tributary of Azygous vein

Q8. Answer only in 2-3 sentences (Any 5 out of 6) 5x2-10 marks

a) Foot drop

b)Branches of abdominal aorta

c)Constrictions of Oesophagus

d)Enumerate structures forming stomach bed

e) epiploic foramen

f) boundaries of ischiorectal fossa.

SECTION-I

Q1. Write the following structured long questions (Any 1 out of 2) (1 X 10-10 Marks )

a)Define cardiac output? Various factors affecting cardiac output. Methods of estimation of cardiac
output (2+5+3)

b) Describe Innervation of heart. Factors regulating heart rate (4+6)

Q2. Write the following case-based scenario/applied short notes (Any 2 out of 3)( 2 X6 12 Marks)

(1) A Patient reported to OPD was found to suffer from high blood pressure.On investigation,
angiogram showed constriction of renal arteries. His blood renin levels were found to be high

a) What is the diagnosis? (2 marks)

b) Name the cells that produce renin ? (2 marks)

c)What is the role of Renin Angiotensin system in the regulation of Blood pressure? (2 marks)

(2) A woman aged 30 years complains of general fatigue, breathlessness on exertion. On examination,
patient shows pallor of the skin and mucus membrane, tachycardia, spooning of nails and oedema of
the dependent parts. Blood picture is:

1)Haemoglobins 6g%

2) MCV 60 µ^3

3) MCH. 20 pg

4) RBC count 3 milliions / mm^3

5)MCHC 20%

a) What is the diagnosis? (2 marks)

b) How do you treat this condition? (2 marks)

c) What is the cause for this anaemia? (2 marks)

(3) Different types of Hypoxias?

Q3. Write short notes on the following. (Any 3 out of 4) 3 X6 18 Marks

a) Anticoagulants.

b) Feedback mechanism
c) Role of lymphocytes in defence mechanism

d) Erythropoiesis

Q4. Answer in only 2-3 sentences. (Any 5 out of 6) 5 X2=10 Marks a) All or none law

b) Sinus arrhythmias.

c) Bainbridge reflex

d) Erythroblastosis fetalis.

e)Functions of platelets

f) Facilitated diffusion

SECTION-II

Q5. Write the following structured long questions (Any 1 out of 2) 1 X 10 = 10 Marks

a) Describe the transport of gasses in blood. Draw Oxyhemoglobin dissociation curve(6+4)

b) Describe the volumes &capacities of the Lung .What is the timed vital capacity?(4 +3+3)

Q6. Write short notes on (Any 2 out of 3) 2 X6 12 Marks

a) Explain the mechanism of fever.

b) Obesity.

c) Cardiovascular adaptation to exercise.

Q7. Write short notes on the following. (Any 3 out of 4) 3 X6-18 Marks

a) GFR & factors influencing it

b) Renal function tests

c) Artificial kidney

d) The doctor patient relationship

Q8. Answer in only 2-3 sentences. (Any 5 out of 6) 5 X2= 10 Marks

a) Loop of Henle.

b) Chloride shift

c) Physiological dead space

d) What is transport Maximum Reabsorption for Glucose.

e) Mechanism of Heat gain

f) Vitamin A deficiency.
Physiology Paper-II
Date : 07-02-2023, Tuesday, Time: 3 Hours ,Max. Marks : 100

SECTION-I

Q1. Write the following structured long questions (Any 1 out of 2)

1X 10= 10 Marks

a) Explain origin ,course, termination & functions of Lateral Spinothalamic tract (2+3+3+2)

b) Connections & functions of Hypothalamus (4+6)

Q.2. Write the following case-based scenario/applied short notes (Any 2 out of 3) 2 x6= 12 Marks

(1) middle aged man presented with statue like state is produced and both voluntary or involuntary
movements become progressively more difficult , pill-rolling movements i.e rhythmic contraction of
thumb over first two fingers , tremors present at rest but disappears during activity and loss of normal
subconscious associated movements like loss of facial expression and swinging of arms while walking.
The clinical examination shows: excessive and abnormal movement mainly involving large proximal
group of muscles of the limbs (both protagonists and antagonists).

a) How will you confirm the diagnosis? (2 marks)

b) What is the physiological basis of the abnormal movements? (2 marks)

c) Management(2marks)

(2)A 45-year-old woman complained of unpleasant feelings in her body. She also gives history of
stoppage of menstruation. Hot flushes (sensation of warmth spreading from trunk to the face) occur
frequently. Night sweating , tachycardia , and mental symptom are also observed

a) What is it called and how can you explain it(2 marks)

b) Discuss the role of Follicular stimulating hormone and Luteinizing hormone in female ovarian cycle. (2
marks)

c) Treatment(2 marks)

(3)Explain Cushing's syndrome

Q3. Write short notes on the following. (Any 3 out of 4) 3 X6= 18 Marks

a) Function of Liver.

b) Defecation reflex.

c) Functions of placenta

d) Oral pills

Q4. Answer in only 2-3 sentences. (Any 5 out of 6) 5 X2 = 10 Marks a) Babinski sign
b) 2nd phase of Deglutition

c) Aphasia

d) Type of Jaundice

e) Milk ejection reflex

f) Puberty changes in female

SECTION -II

Q5.Write the following structured long questions (Any 1 out of 2) 1 X 10= 10 Marks

a) Explain steps in the synthesis of thyroid hormone &Functions of Thyroid hormones[5+5]

b) What is the Normal serum Calcium level ? Explain in detail the hormones regulating Calcium level.
Add a note on tetany. [2+6+2]

Q6. Write short notes on (Any 2 out of 3) 2 X6= 12 Marks

a) Neuromuscular junction

b) Types of smooth muscle.

c) What is action potential .Draw and describe action potential.

Q7. Write short notes on the following. (Any 3 out of 4) 3 X6 - -18 Marks

a) Visual pathway and effect of lesions.

b) Functions of Middle ear.

c) Difference between somatic and autonomic Nervous system..

d) Adrenergic receptors

Q8. Answer in only 2-3 sentences. (Any 5 out of 6) 5 X2 = 10 Marks

a) Light adaptation.

b) What is diabetes mellitus ?

c) Taste bud

d) What is Myopia ?

e) Gigantism

f)Aldosterone
Biochemistry Paper-1. [Date : 09-02-2023, Thursday] [Time: 3 Hours] [Max. Marks 100]

Q1. Structured Long Question (Any 1 out of 2) (1x 10 marks 10 marks)

1.Describe pathway of glycolysis, and its regulation, significance, energetics,disorders and poisons that
inhibit enzymes of glycolysis.

2. Describe heme biosynthesis and its regulation. Add a note on porphyria.

02. Case based scenario/Applied Short notes (Any 2 out of 3) (2 x 6 marks =12 marks)

1. A 20- year-old male suffering from malaria was treated with chloroquine and manifested as hemolytic
anemia. Provisional diagnosis of glucose-6-phosphate dehydrogenase (G6PD) deficiency was made.

1. Which reaction is catalyzed by the G6PD?

2. How does deficiency of G6PD produce hemolytic anemia?

3. Name the pathway in which this reaction occurs.

2. A 50-year-old woman presented at the accident and emergency department with severe chest pain
which had been present for the past hour.

1. What specific test would you request from the biochemistry laboratory?

2. Explain various tests and their clinical interpretation with normal range

3. A 19 year old girl was referred to a medical center because of poor exercise tolerance and muscle
weakness. After biochemical investigations, carnitine

deficiency was confirmed.

1. What is Carnitine?

2.What is the role of Carnitine?

3. What is cause of muscle weakness?

Q3. Write Short Notes(Any 3 out of 4) (3 x 6 marks =18 marks)

1 Mucopolysaccharides

2. Fructose Metabolism

3. Inhibitors of Electron Transport chain Mitochondria

Q4. Answer only in 2-3 sentences (Any 5 out of 6) (5 x 2 marks =10 marks)

1. Name different types of carrier proteins with examples.

2. What are the factors affecting the doctor patient relationship.

3 Describe diffusion and osmosis transport process.

4. Enumerate antioxidant enzymes.

6. What are the different types of Hemoglobinopathies ?

Section 2
Q5. Structured Long Question (Any 1 out of 2) (1x 10 marks =10 marks)

1. Discuss the various mechanisms for regulation of acid-base balance.

2 What are isoenzymes? Describe its importance in clinical medicine.

Q6. Write Short Notes (Any 2 out of 3) (2 x6 marks =12 marks)

1 Oncogenes

2 Transamination

3. Fluid mosaic pattern of cell membrane

Q7. Write Short Notes (Any 3 out of 4) (3 x6 marks =18 marks)

1. Functions of Phospholipids

2. Use of radioisotopes in research with examples

3. Chemi Luminescent Immunoassay

4. Essential fatty acids

Q8. Answer only in 2-3 sentences (Any 5 out of 6) (5x 2 marks =10 marks)

1. Ketosis

2.Define pH and enumerate the methods of determining pH

3. Serum Sodium

4. Anion gap

5. Importance of HDL in cholesterol transport

6, Causes of fatty liver

SECTION-1

1. Structured Long Question (Any 1 out of 2) (1 x 10 marks = 10 marks)

1.Describe mechanisn of polymerase chain reaction and its application in medical diagnosis, and
treatment of genetic diseases.

2. Catabolism of purines and related disorder.

Q2. Case based scenario/Applied Short notes (Any 2 out of 3) (2 x 6 marks =12 marks)

1. A full-term infant was observed to have a lack of pigmentation, blue eyes, white hair, and confirmed
as a case of albinism.

1. Name the deficient pigment.

2. Name the enzyme responsible for the defect.

3. Write biochemical reaction catalyzed by the enzyme.

4. Name the amino acid, from which the pigment is synthesized.

2. A 15-year-old male has polished rice as a major component of his diet. He is

hospitalized with symptoms of poor appetite, peripheralneuropathy and muscular weakness.

1. Name the probable disorder and its different types.

2. Which factor is deficient in the diet?

3. Give the active form of the deficient factor

4. Give any reaction where this factor is required.

3. A 50-month-old female child hospitalized. A diagnosis of classic phenylketonuria was made.

1. Name the defective enzyme of classic phenylketonuria.

2. Name the other types of PKU with their defective enzymes.

3. What are the characteristics of PKU?

4. Name diagnostic test for PKU.

Q3. Write Short Notes (Any 3 out of 4) (3 x 6 marks =18 marks)

1.Application of recombinant DNA technology

2. Application of Genetic engineering.

3. Biochemistry of AIDS

4.Difference between Kwashiorkor and Marasmus

1 Lesch-Nyhan syndrome

2. Genetic Code

3. Basal metabolic rate

4 Functions of Glycine.

5. Amphibolic role of Tricarboxylic cycle

6. Enumerate the free radicals and their mechanism of actions

SECTION-1

Q5. Structured Long Question (Any 1 out of 2) (1x 10 marks =10marks)

1. Describe the metabolism, biochemical functions, deficiency diseases associated with inadequate
intake, and toxicity due to excessive intake of Vitamin-A.

2. Describe the metabolic pathway for tryptophan and explain their role in biosynthesis variety of
specialized products and inborn disorders associated with metabolism of tryptophan.

Q6.Shotes (Any 2 out of 3) (2 x 6 marks =12 marks)

1. Functions of Vitamin C

2. Collagen

3.Functions of Calcium

Q7. Write Short Notes (Any 3 out of 4) (3x 6 marks =18 marks)

1. Elastin

2.unctions of Plasma Proteins

3.Mechanismn of Insulin

4. Rickets

Q 8. Answer only in 2-3 sentences(Any 5 out of 6) (5 x 2 marks =10 marks)

1. Marfan's syndrome

2.Functionsn-K

3.Essential amino acids

4.Scurvy

5.Alpha helix.

6. Antioxidant Vitamin