Anatomy Paper 1

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Rajiv Gandhi University of Health Sciences, Kamataka
MBBS Phase - I (CBME) Degree Examination - 08-Feb-2021
Time: Three Hours Max. Marks: 100 Marks
ANATOMY - PAPER - I (RS-4)

Q.P. CODE: 1020
(QP contains two .pages)
Your answers should be specific to the questions asked
Draw neat, labeled diagrams wherever necessary
LONG ESSAYS 2 x 10 = 20 Marks

1. Describe a typical intercostal space under the following headings:
a) Definition; b) Boundaries; c) Contents (1+2+4)
Explain where a needle is inserted into the intercostal space to drain a pleural effusion and the
anatomical basis for the same. Name the structures in order from the skin to the pleura that
must be pierced in order to enter the pleural cavity (0.5+0 .5+2)
2. Describe the larynx under the following headings:

a) Cavity; b) Actions of the intrinsic muscles; c) Nerve supply (2+3+2)
Explain the anatomical basis of injuries to the nerves supplying the larynx during thyroid
surgeries. (3)
SHORT ESSAYS 10 x 5 = 50 Marks

3. Describe the origin, course, branches and termination of the musculocutaneous nerve. Explain
why the motor distribution of the musculocutaneous nerve is affected in Erb'splasy.
(0.5+2+1+0.5+1)
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4. A 30-year-old cricketer felt moderate pain in the right shoulder for the last two weeks. The pain
was severe enough to prevent him from bowling. He visited a sports medicine specialist who
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observed that maximum pain was felt in the mid-range of abduction. A diagnosis of rotator cuff
tendinitis was made.
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a. Describe the components of the rotator cuff.

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b. Explain the functional importance of the rotator cuff.

c. Explain the anatomical basis for the maximum pain felt in the mid-range of
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abduction. (2+1+2)
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5. Describe the movements of the scapula and the muscles causing them. Explain the anatomical
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basis of winging of the scapula. (2+2+1)

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6. Describe the formation , course, termination and drainage areas of the thoracic duct. Explain
how stab injuries to the left side of the neck can damage the thoracic duct. (0.5+1+0.5+2+1)
7. Describe the attachments, actions and nerve supplv of the muscles of the soft palate. Explain
the role of the soft palate in deg!utition. (2+1+1+1)
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9. Describe the movements that occur at the atlanto-occipital and median atlanto-axial joints and
the muscles causing them. Explain the mecha nlsm by which movements occur at the median
atlanto-axial joint. (2+2+1)
9. Draw a neat, labelled dlagrc:m of the cross-sect;cn of the spina ! cord at the mid-thor::1cic level.
Explain the functionai importance of the dorsal colum ns . ( 4+ 1)
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Raj iv Gandhi University of Health Sciences, Ka~ataka
1p. Describe the extent, gross features and relations of the hypothalamus. Explain the functional
importance of the hypothalamic-hypophyseal portal system. {1+1+2+1)
11. Describe the development of the umbilical cord. Explain why the umbilical arteries carry
deoxygenated blood and umbilical veins carry oxygenated blood. (4+1)
12. Compare and contrast the light microscopic features of serous and mucous acini.
SHORT ANSWERS 10 x 3 = 30 Marks

13. A 3O-year-old lady had to get blood drawn for some routine blood tests. At the hospital lab, the
technician selected a vein that ran across the roof of the cubital fossa for the collection of blood.
a. Which vein did the technician select for drawing blood?
b. Explain the anatomical basis for the selection of this vein. (1+2)
14. Describe the location, formation and termination of the coronary sinus. (1+1+1)
15. Describe the lymphatic drainage of the lungs.
16. Name six branches of the external carotid artery.
17. Name the_ bones that contribute to the lateral wall of the nasal cavity. Explain the function~\
imp0-rtcince of the turbinates. (2+1)
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19. Desc;ibe the anat om ical basis fo r performi ng a lumbar puncture at the l.3/L4 interspinous level.
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20. Describe the three types of anastomoses with suitable examples. (1.5+1.5)
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21. Describe the components of the blood-brain barr,er. Explain its functional importance.
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(1.5+1.5)
22. Draw a neat, labelled diagram of a blastccyst.
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Time: Three Hours Max. Marks: 100 Marks

ANATOMY - PAPER - I (RS-4)

LONG ESSAYS 2 x 10 = 20 Marks

2. Describe the larynx under the following headings:

SHORT ESSAYS 10 x 5 = 50 Marks

a. Describe the components of the rotator cuff.

b. Explain the functional importance of the rotator cuff.

basis of winging of the scapula. (2+2+1)

SHORT ANSWERS 10 x 3 = 30 Marks

15. Describe the lymphatic drainage of the lungs.

16. Name six branches of the external carotid artery.

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