SCIENCES, GORAKHRAPUR

ALL INDIA INSTITUTE OF MEDICAL

EXAMINATION (MBBS BATCH 2020) -

Second (2) SEMESTER THEORY

Subject- ANATOMY

Total Duration -3 Hrs

Total Marks-80
Section (A)- MCQ (20 Marks) + Theory (30 Marks); Section (B)- Theory (30 Marks)
Instructions:
Answer all the questions
MCQs are to be answered in copy A as Q-1 after 30
to be answered first as the question paper of MCQs will be collected
MCQs are

minutes
There shall be no negative marking in MCQs
copies
Section A and SectionB are to be answered in separate coresponding
shall not be evaluated
Questions answered in wrong copies
One question is to be attempted only once
wherever neccessary.
D r a w neat, well labeled diagram and /or flowcharts
Section-A
to be answered in copy A as Q-1).
Q.1.MCQs (Given as a separate question paper sheet,
S (243+4+1-10)
Q.2 Describe triangles of neck under following headings:-
aSubdivision of triangles
fascia
b) Investing layer of Deep cervical
showing boundaries & contents of posterior triangle
Well labeled diagram
d) Wry neck

wherever necessary) (3+3+4=10)

Q.3 Write short notes on following (Draw well labeled diagrams
movements
Movements at Temporo-mandibular joint & muscles producing
bY Submandibular ganglion
cranial nerve)
c) Course & Distribution of Oculomotor nerve (1II"

(Draw well labeled diagram wherever necessary) (2.5x4=10)

Q.4 Write short notes on

of Parotid gland
a) Microscopic anatomy
Trisomy 21 d
Development oftongue
Oogenesis
 Section -B
(4X2.5-10)
9 Describe Liver under the following headings:
a) Peritoneal reflection
b) Visceral impression
c) Hepatic segmentation
d) Microcirculation of liver

Q.2 Draw well labeled diagram only: (3+3+4-10)

a) Microanatomy of Prostate
b) Circle off Willis
c) Transverse section at level of open part of medulla

Q.3 Problem based Questions-

. A hypertensive patient brought to Emergency Department with right sided weakness of body

Since 2 days. On Neurological examination Right sided hemiplegia was diagnosed with
increased tendon reflexes, positive Babinski sign. Complete Sensory loss was present on right
side of body. On MRI intermal capsule (2+2 4)
a.
hemorrhage was detected
Mention different afferent and efferent fibres of internal capsule
b. Blood supply of intemal capsule

Amother consulted Pacdiatric department with concem that during bathing of her 2 years old boy,
she noticed that baby has missing testes on right side of scrotum while left testis is normally
present in scrotum. On abdominal Ultrasonography -right testes was seen in inguinal canal
a. Name condition of abnormal positioning of testes (1+2 3)
b. Mention the normal path of descent of testes

A boy contacted emergency department with nasal bleeding of acute onset. On examination
history of habitual nose pricking was revealed. Blood was coming from antero-inferior part of
(1+2-3)
nasal septum.
a. Name the area commonly involved as site of bleeding
b. Mention the arteries supplying this area?
 AL/INDIA INSTITUTE OF MEDICAL SCIENCES, GORAKHRAPUR

2020)
pSecond (2nd) SEMESTER THEORY EXAMINATION (MBBS BATCH
-

Subject- PHYSIOLOGY

Totál Duration-3 Hrs

Total Marks-80
Section (A)- MCO (20 Marks)+Theory (30Marks); Section (B)- Theory (30 Marks)
Instructions:
Answer all the questions
MCQs are to be answered in copy A as Q-1
MCOs are to be answered first as the question paper of MCQs will be collected after 30 minutes
There shall be no negative marking in MCQs
Section A and Section B are to be answered in separate corresponding copies
Questions answered in wrong copies shall not be evaluated
One question is to be attempted only once
YDraw neat, well labeled diagram and /or flowcharts wherever ne.cessary.

Section-A
Q.1. MCQs (Given as a separate question paper sheet, to be answered in copy A as Q-1).

9.2 Short answer questions

(25-10)
) A 35-year-old woman sees her physician to report weakness in the extraocular eye mugles and muscles of the
extremities. She states that she feels fine when she gets up in the morning, but the weayáess begins soon ater shie
becomes active. The weakness is improved by rest. The physician treats her with an anticholinesteraserinhibitor, and she
notes immediate return of muscle strength.With which condition the woman is diagnosed ? Mention the underlying cause
of the condition.
Ak A
i) A tumor was diagnosed near the base of the skull in a 56-year-old woman, impingingon her right optic tract.
a. Which parts of the visual field of each eye are relayed through the right optic tract?
b. Lesions in optic tracts can lead to which type of visual field defect?

(ii) A female presents with nervousness;,weight loss hyperphagia: heat intolerance: increased pulse pressure; a fine
tremor of the outstretched fingers; warm, soft skin; scating? and a BMR from +10te-as-hiph-as H04 What is the
probable diagnosis? What is the most common causeof the condition?

1CivyAneuroscientist is studying communication between the hypothalamus and pituitaryin model.

a rat She
interrupts
blood flow through the median eminence and then measures circulating levels of pituitary hormones following appropriate
physiologic stimulation. Secretion of which hormones will be unaffected by the experimental manipulation and why?

oExplain why:
a. The work performed by the left ventricle is substantially greater than that perfomed by the right ventricle.
b. Pressure in ascending aorta is never zero.

Q.3 Short answer questions-

(25-10)

yof During exercise,aman consumes 1.8 Lofoxygenper minute, Hisarterial 02content is 190 mLL, and the O2content
his mixed venous blood is 134mL. What will be his approximate cardiac output ? What is the principle underlying
the calculation?
Frtes
18o me/min
1 8 0 ( 3 3

19o-13
 of gastroenteritis, A blood test
() A patient suffering from anemia comes to his physician complaining of frequent bouts
of
reveals antibodies directed against gastric parietal cells. The anemia in this patient is attributable to hyposecretion
which gastric product? Name the type of anaemia.

in
i ) A 50 year old man who was presented to the emergency, developed bradycardia,consistent
increase systolic and pulse
This description is closely with the activation of
pressure, and irregular respiration during the hospital course.
Which reflex? Explain the reflex in brief.

When a pheochromocytoma (tumor of the adrenal medulla) suddenly discharges a large amount of epinephrine into
the circulation, what will be the change in the patient's heart rate and why?
B
(v) What is the volume of air that fills the conducting zone of respiratiou (made up by the nose, trachea, and bronchi)

called? Mention the name of one method for its estimation

I5 per
Q.4 Short answer questions
(25-10)
blood low to myocardium (left ventricle) occurs in which phase of the cardiac cycle? Why subendocardial
0Maximum
portion of the left ventricle is prone to ischemic damage "

which cells secrete the pulmonary

surfactant? What is the primary function of surfactant in the lungs?
ce
the
(1i) Name one condition that leads to tissue hypoxia without alteration of oxygen content of blood and explain reason.
O
function.
(iv) What is the location of Pneumotaxic center? Mention its

(v) What are the two theories of pitch (sound) discrimination ?

Section B

Short-answer questions:

Describe processes involved in modulation of

QDefine Pain. Explain the basis for visceral and referred pain.
transmission in pain pathways. 1+2+3
hormones.
? Write down the biosynthesis and functions of thyroid
92What are the hormones secreted by thyroid gland 1+2+3

Q.3 Write down the composition,

functions and regulation of gastric juice 1+2+3
How it is regulated?
What do you mean by glomerular filtration rate?
What are the factors aftecting it?
Q.4 1+2+3

functions and clinical aspects of Pyramidal tracts.

Q.5 Explain the course, 2+2+2
AC
 ALL INDIA INSTITUTE OF MEDICAL SCIENCES, GORAKHRAPUR
Second (2nd) SEMESTER THEORY EXAMINATION (MBBS BATCH -2020)
Subject- BIoCHEMISTRY
Total Duration -3 Hrs
Total Marks-80
Section (A)- MCO (20 Marks) +Theory (30 Marks); Section (B)- Theory (a0 Marks)
Instructions:
Answer all the questions
MCQs are to be answered in copy A as Q-1
MCOs are to be answered first as the question paper of MCQs will be collected after 30 minutes
There shall be no negative marking in MCQs
Section A and Section B are to be answered in separate corresponding copies
Questions answered in wrong copies shall not be evaluated
O n e question is to be attempted only once
Draw neat, well labeled
diagram and /or flowcharts wherever
necessary.

Q.1. MCQs (Given

Section A
separate question paper sheet,
as a
to be answered in copy A as Q-1).
Q2. Write short notes on:

u c t u r eaf ND (5x3 15)

NA
DNA Repair mechanisms

abelled diagram oftRNA

93. Diagrammatically describe DNA
replication. Briefly describe lac operon.
4+4)
Q4. Draw the labelled diagram of
antibody. List the differences between
primary and secondary 1mmune response.
(3+4)

Section B
Q1 Define anion gap. What is the normal
reference range? Write anytwo causes'eách of high ánion gap and nqn-anisnap
hetabolic acidasis.

2.Define GFR. Write the formula to calculate renal clearance. What is microalbuminuria? List any two causes of "
glomèrufar proteinuria
3o-
g3.What are tumour mnárkers? List the uses of tumour markers in patient care. What is the use of PSA,
thyroglobulin, and
alpha fetoprotein in oncology?

2+3)
A. What are Phase I reactions? List the different types of conjugation reactions of xenobiotic metabolism.

3+4)