ANATOMY 1st YEAR MBBS

BCQs
o General Anatomy
o Embryology
o Histology
o Gross: Lower Limb
o Gross: Upper limb
o Gross: Thorax

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D. Schwann cells
GENERAL ANATOMY E. Neuroglia cells
7. Cell bodies of preganglionic autonomic neurons
1. During an introductory class 1st year MBBS for sympathetic system are located in:
students were asked to discuss various anatomical A. Spinal cord (gray matter)
Positions & planes of the body. A vertical plane B. Ventral horn
pass through the body dividing it into the right & C. Paravertebral sympathetic ganglia
left equal halves is termed as: D. Lateral horns from T1, L2
A. Oblique plane E. Brain
B. Transverse plane 8. A boy aged 15 years suffering from paraplegia
C. Sagittal plane (damage of both lower limb) due to road accident.
D. Lateral plane Which of the following structure is involved for
E. Frontal plane such deformity?
2. A known case of osteoarthritis is advised for knee A. Injury to the artery
replacement due to the damage of cartilage lines B. Injury to the nerve
the articular surface of this joint, which of the C. Injury to the vein
following tissue lines the articular surfaces; D. Injury to the lymphatic
A. Periosteum E. Injury to the bone
B. Fibrocartilage 9. A male of 60 years of age with complaints of pain
C. Elastic cartilage in the knee and difficulty in movement arrived at
D. Hyaline cartilage hospital for his examination. The doctor diagnosed
E. Connective tissue this as a case of arthritis. The structure damaged is
3. While dissecting the human body, teacher told the articular cartilage which has:
students about many organ planes of the A. Give attachment to synovial membrane
body. He dissected an organ plane vertically into B. Has rich blood supply
two right and left equal halves. The plane of the C. Fibrocartilage variety
cut organ is said to be: D. Elastic variety
A. Sagittal E. Hyaline variety
B. Coronal 10. A boy aged 20 years having swelling in
C. Lateral feet. Which one of the following structures is
D. Transverse responsible for such edema (swelling)?
E. Oblique A. Arterial obstruction
4. The plane which divides body into two equal right B. Venous obstruction
and left halves is called: C. Damage of the nerve
A. Coronal plane D. Muscular hypertrophy
B. Transverse plane E. Fracture of bone
C. Horizontal plane 11. A highly vascularized anatomical
D. Mid Sagittal plane structure supplied by two named arteries. Which
E. Para median plane will be the type of anastomosis:
5. Which one of the following is a fibrous joint? A. Actual anastomosis
A. Hip joint B. Physiological anastomosis
B. Shoulder joint C. Potential anastomosis
C. Inferior radio ulnar joint D. End arterial anastomosis
D. Sutures of the vault of the skull E. Anatomical anastomosis
E. Temporal mandibular joint 12. A lady aged more than 60 years having carcinoma
6. A clinical condition is characterized by the (cancer) of breast. What is the probable route of
demyelination of peripheral nervous system, Name spread of carcinoma?
the commonly affected cells: A. Venous route
A. Oligodendrocyte B. Arterial route
B. Ependymal cells C. Lymphatic route
C. Astrocyte D. Capillary route

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E. Arteriovenous route 19. A school boy was punished by teacher to do sit
13. Electrician was busy to tight screw on wall. Which and stand (up + down) for 20 times. Which
probable movement is performed by him? possible movement at knee joint he will perform:
A. Flexion of arm A. Abduction + adduction
B. Extension of elbow. B. Abduction + medial rotation
C. Supination + pronation C. Adduction + lateral rotation
D. Adduction + abduction D. Flexion + extension
E. Flexion + extension of elbow E. Extension + abduction
14. A mother is holding a baby by folding both arms. 20. A young lady is eating burger in restaurant by
Which possible movement at shoulder region she using her both hands. Which possible movement at
is going to perform: shoulder joint she is going to perform for both
A. Adduction + abduction hands:
B. Adduction + flexion A. Extension
C. Flexion + extension B. Flexion
D. Medial rotation of both arm C. Lateral rotation
E. Lateral rotation of both arm D. Medial rotation
15. Lady demonstrating her students in exercise club E. Abduction + adduction
about various movements at multiple axis. Which 21. A young lady of 25 years old wearing high heels,
variety of synovial joint is responsible to perform suddenly got severe pain because of ankle sprain
such movements: when she was going fast to the car parking. Which
A. Hinge variety anatomical structure is supposed to be involved?
B. Ellipsoid variety A. Ligament
C. Ball and socket variety B. Joint
D. Pivot variety C. Muscle
E. Plane variety D. Tendon
16. A teacher was discussing about shaft of femur E. Nerve
during class. Which statement regarding shaft is 22. While studying the muscles and its supply, the
true: concept of motor unit is that:
A. Avascular part of bone A. It is a supporting cell for motor neuron
B. Containing perichondrium B. It is motor axon present in spinal cord
C. Covered by hyaline cartilage C. It is multiple muscle fibers innervated by
D. Compact bone single motor neuron
E. Devoid of nerve supply D. It is free nerve ending around muscle fibers
17. While examination of shoulder joint, doctor E. It is a single muscle fiber innervated by single
asked a patient to move a joint in all directions. motor neuron
The combination of all movements performed on 23. A young boy has got insect bite on dorsum of
shoulder joint is known as: hand. He feels pain, itching and temperature on
A. Flexion and extension site of bite. Which of the following nerve ending
B. Flexion, abduction, extension and adduction will detect these sensations?
C. Flexion, extension, lateral and medial rotation A. Meissner's corpuscles
D. Circumduction B. Pacinian corpuscles
E. Protrusion and retraction C. Ruffini corpuscles
18. A boy aged 18 years, running for bowling. Which D. Free nerve endings
common movement at knee joint he is going to E. None of above
perform: 24. A bagger was standing at bus stop and approach
A. Flexion + adduction the person for some tip, while receiving the tip, the
B. Flexion + extension position of the hand of bagger is in:
C. Flexion + abduction A. Extension
D. Extension + medial rotation B. Flexion
E. Extension + lateral rotation C. Supination
D. Pronation

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E. Adduction C. Sternoclavicular joint
25. The terms that denote the relative distance of D. Wrist joint
structure from surface of the body are? E. Median-Atlanta axial join
A. Proximal and distal 29. A boy during playing football game hit a ball into
B. Superior and inferior net & made goal. Which one of the following
C. Internal and external movements he performed?
D. Superficial and deep A. Extension of thigh
E. Ipsilateral and contralateral B. Abduction of thigh
26. A 46 years old male patient with high blood C. Adduction of thigh
pressure was examined in the emergency D. Rotation of thigh
department, and his physician found a leakage of E. Flexion of thigh
blood from the blood vessels that normally carries 30. A football player moves his both lower limbs
richly oxygenated blood. Which of the following freely in all directions while playing the game.
vessels would most likely be damaged? Which of the following variety of joint at Hip is
A. Superior vena cava responsible for his movements?
B. Pulmonary arteries A. Pivot variety
C. Pulmonary veins B. Hinge variety
D. Portal vein C. Ball & socket variety
E. Femoral vein D. Plane variety
27. The lymphatics are characterized by all of the E. Ellipsoid variety
following Except: 31. The sympathetic chain is receiving preganglionic /
A. No valves white rami communicants from:
B. No distinct layers A. Ventral horn of thoracic segments of spinal
C. Multiple valves cord
D. Lined by simple endothelium B. Lateral horn of thoracic segments of spinal
E. Freely communicating with veins cord
28. While studying the anatomy of a joint with C. Lateral horn of lumbar segments of spinal cord
movements only on one axis and allowing one set D. Lateral horn from T12 to L1 segments of
of movement is known as hinge joint. The spinal cord
typical example of this type of joint is; E. Dorsal horn of T, to L₂ segments of spinal cord
A. Shoulder joint
B. Elbow joint

ANSWER KEY:

Q. NO OPTION Q. NO OPTION Q. NO OPTION Q. NO OPTION

1 C 9 E 17 D 25 D
2 D 10 B 18 B 26 C
3 A 11 B 19 D 27 A
4 D 12 C 20 D 28 B
5 D 13 C 21 A 29 E
6 D 14 D 22 C 30 C
7 D 15 C 23 D 31 A
8 B 16 D 24 C

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EMBRYOLOGY
1. A normal pregnancy is maintained by the 7. The failure of closure of the cranial end of
action of trophoblast on corpus letup. The neural tube gives rise to:
corpus letup will continue to function for A. Microcephaly
which of the following period after pregnancy: B. Hydrocephalus
A. 3-4 months C. Anencephaly
B. 2-3 months D. Meningomyelocele
C. 1-2 months E. Spina bifida
D. 14 days 8. First indication of gastrulation in the embryo
E. Throughout pregnancy is:
2. In embryo the first system to starts A. Formation of notochord
developing is nervous system. It begins with B. Formation of neural tube
the process of Neurulation which is C. Formation of extra embryonic mesoderm
characterized by: D. Formation of tertiary chorionic villi
A. Formation of neural tube E. Formation of primitive streak
B. Formation of Notochord 9. Which process establishes the three definitive
C. Formation of primitive streak germ layers;
D. Formation of extra embryonic mesoderm A. Neurulation
E. Spindle formation B. Crania caudal folding
3. Appearance of primitive streak commences at: C. Lateral folding
A. 20th day D. Gastrulation
B. 15th day E. Angiogenesis
C. 10th day 10. Which of the following is derivative of
D. 5th day ectoderm;
E. 27th day A. Smooth muscle
4. Cloacal membrane is composed of: B. Nervous system
A. Ectoderm & Endoderm C. Ureter
B. Ectoderm D. Skeletal muscle
C. Mesoderm E. Cardiac muscle
D. Endoderm 11. The fusion of sperm and ovum is called;
E. Ectoderm, Mesoderm & Endoderm A. Fertilization
5. Which of the following structures is formed B. Zygotes
during the third week of development: C. Morula
A. Branchial arches D. Menstruation
B. Heart tube E. Blastocyst
C. Genital ridge 12. The connection between fetus and termed
D. Trilaminar germ disc placenta is by:
E. Bilaminar germ disc A. Umbilical cord
6. By which week of intrauterine life does the B. Connecting stalk
neural tube close; C. Villi
A. 9th D. Mesoderm
B. 7th E. Vitelline duct
C. 6th 13. The ovulation in a lady with 28 days
D. 5th menstrual cycle occurs in:
E. 4th A. On 5th day of menstrual cycle
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B. During menstruation 19. During meiosis-I, pairing of
C. At the 10th day of menstrual cycle homologous chromosomes occur, which
D. On 14th day of menstrual cycle permits large segments of DNA to be
E. In the last week of menstrual cycle exchanged. What is this process called?
14. A newborn baby was born with a A. Synapsis
congenital defect in lumbar region, diagnosis B. Nondisjunction
of Spina bifida was made. In most cases these C. Alignment
types of neural tube defects can be prevented D. Crossing over
by taking which of the following drug? E. Disjunction
A. Vitamin D 20. Which of the following describes the
B. Vitamin A number of chromosomes and amount of DNA
C. Vitamin C in a gamete?
D. Aspirin A. 46 chromosomes, 1n
E. Folic acid B. 46 chromosomes, 2n
15. A 24-year-old lady after missing her last C. 23 chromosomes, 1n
period visited her obstetrician for confirmation D. 23 chromosomes, 2n
of pregnancy. After ultrasound her doctor E. 23 chromosomes, 4n
confirmed her pregnancy & advised to avoid 21. Intermediate mesoderm is responsible for
certain medications during her embryonic formation of:
period. The embryonic period constitutes A. Somites
which of the following weeks of embryonic B. Bone and muscles
development. C. Excretory action of the urinary system
A. 4th to 8th week D. Dermis and mucocutaneous tissue
B. 3rd to 8th week E. None of the above
C. 8th to 12th week 22. A 45-years old lady with uncontrolled
D. 2nd to 6th week diabetes after missing her menstrual cycle is
E. 1st to 2nd wee worried about her baby may not born with any
16. Notochord is serving as a temporary axial birth defect. Which of the following period is
skeleton, which of the following replaces it potentially sensitive regarding development
and form permanent axial skeleton: and defects:
A. Somites A. 1st – 2nd week
B. Spinal cord B. 3rd – 4th week
C. Ependyma C. 4th – 5th week
D. Nucleus pulposis D. 3rd – 8th week
E. Lateral plate mesoder E. 4th – 10th wee
17. The most common site for fertilization is: 23. A new born baby is brought to hospital
A. Ovary with edema over sacral region showing some
B. Uterine cavity tuff of hairs. The baby was diagnosed as a
C. Ampulla of uterine tube case of Sacro-coccygeal teratoma. This
D. Cervix condition is due to
E. Abdomen A. Retention of tissue of primitive streak
18. Oogenesis starts: B. Absence of notochord
A. At puberty C. Excessive production of intraembryonic
B. During first year of life mesoderm
C. After puberty D. Less amount of amniotic fluid
D. During intra uterine life E. Non rupture of oropharyngeal membrane
E. At 20 years of age
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24. A woman during second trimester B. Oogonia
of pregnancy is admitted in hospital C. Primary oocytes
for observation of fetal distress. On D. Haploid oocytes
ultrasound examination there seems to be a E. Graafian follicle
problem within the placental circulation. 29. A 10-year girl with lymphoedema, short
Which of the following layers will not be stature & webbed neck was diagnosed as a
included in the separation of the maternal case of?
blood from fetal blood: A. 45XY
A. Amniotic membrane B. 45X
B. Cytotrophoblast C. 48 XXXY
C. Syncytiotrophoblast D. 47 XXY
D. Chorionic mesoderm E. 47 XXX
E. Endothelium of blood vessel 30. A 40 years old pregnant lady visited her
25. On ultrasound examination, a pregnant obstetrician for antenatal checkup, her doctor
mother showed ectopic pregnancy. She counseled her an increased risk of congenital
was immediately sent to gynecologist for anomalies with increasing maternal age. What
further assessment. The gynecologist is condition is strongly associated with
worried about her problem. Ectopic pregnancy increasing maternal age?
may be fatal to the mother because of A. trisomy 21
A. Hemorrhage B. Anencephaly
B. Destruction of vital organ due to pressure C. Trisomy 13
exerted by the growing D. Ambiguous external genitalia
C. Toxemia of pregnancy E. Trisomy 1
D. Occlusion of vessels in the vicinity of the 31. A newborn baby born with a mass in the
implantation site lumbar region. After examination and
E. Perforation of the gut investigations, diagnosis of sacrococcygeal
26. A 30 years old married man went to teratoma was made. Teratoma is a tumor,
doctor with complaint of having no child. The which arises from which of the following
doctor advised him for analysis of semen. The A. Syncytiotrophoblast
normal count of spermatozoa in semen per B. Pluripotent stem cells
ejaculation is C. Hypoblast
A. 200 - 400 thousand D. Cytotrophoblast
B. 200 - 400 million E. Ectodermal germ layer
C. 20 - 40 million 32. A 28-year-old Rh negative woman’s 2nd
D. 50 - 100 million son is born severely jaundiced. Which
E. 2 - 4 million characteristic most likely describe her 1st
27. The normal allocation of chromosomes in child
a sperm is: A. Hydramnios
A. 23 autosomes B. Rh positive
B. 23 autosomes + a sex chromosome C. Male
C. 22 autosomes + a sex chromosome D. Female
D. 22 paired autosomes + a pair of sex E. Rh negative
chromosome 33. During a tutor class of embryology,
E. 22 autosomes students were asked for the pre & post phases
28. At birth all of the following gametes in of oogenesis. Which of the following is
the ovary are responsible for arrested state of oocyte until
A. Haploid Puberty?
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39. The prechordal plate marks the site of the
A. Oocyte maturation promoting factor future:
B. Oocyte maturation Inhibition factor (OMI) A. Mouth
C. Zona proteins B. Heart
D. Pituitary ovarian axis C. Umbilical cord
E. Oocyte activation facto D. Anus
34. A newborn baby with multiple E. None of above
abnormalities was diagnosed to have failure of 40. Intermediate mesoderm will give rise to
paraxial mesoderm to differentiate into the;
somite’s, as a consequence which of the A. Kidney and gonads
following structure remains unaffected in this B. Heart
baby? C. Somites
A. Dermis D. Notochord
B. Cartilage E. Neural tube
C. Epidermis 41. The developing embryo has a distinct
D. Muscle human appearance by the end of:
E. Bone A. Week 8
35. In the production of Female gametes, B. Week 7
which of the following cell can remain C. Week 6
dormant for 12 to 40 years: D. Week 5
A. Primary oocyte E. Week 4
B. Primordial germ cell 42. What is the normal amount of amniotic
C. Secondary oocyte fluid at term?
D. First polar body A. 1000 ml
E. Second polar bod B. 1500 ml
36. When does formation of primary C. 2000 ml
spermatocytes begin: D. 500 ml
A. At puberty E. 50 ml
B. At birth 43. The intervillous space of placenta
C. During 4th week of embryonic life contains:
D. During 5th month of fetal life A. Maternal blood
E. During 5th month of infancy B. Fetal blood
37. How much DNA does a primary C. Maternal and Fetal blood
spermatocyte contain? D. Amniotic fluid
A. 4N E. Maternal blood and amniotic fluid
B. 2N 44. The intraembryonic mesoderm is divided
C. 6N into two distinct layers by the formation of
D. 8N the:
E. 10N A. Intraembryonic coelom
38. Which of the following is the origin of the B. Extraembryonic Coelom
mitochondrial DNA of all human adult cells? C. Carcinogenic region
A. Maternal only D. Notochord
B. Paternal only E. Yolk sac
C. A combination of maternal and paternal 45. In the production of male gametes, which
D. Either maternal or paternal of the following cells remains dormant for 12
E. Unknown origin years;
A. Primordial germ cell
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B. Primary spermatocytes C. Alpha-fetoprotein
C. Secondary spermatocytes D. Human placental lactogen
D. Spermatid E. Human chorionic gonadotropin
E. Sperm 51. A 45 years old lady with uncontrolled
diabetes after missing her menstrual cycle is
46. Renal agenesis may lead to: worried about her baby may not born with any
A. Polyhydramnios birth defect. Which of the following period is
B. Oligohydramnios potentially sensitive regarding development
C. Fetal uremia and defects?
D. Fetal acidosis A. 4th-10th week
E. Premature labour B. 3rd-8th week
47. During development of body cavities. C. 3.3rd-4th week
Pleuro pericardial folds contains which of the D. 1st-2nd week
following structure / structures: E. 4th-5th week
A. Common cardinal vein 52. Mrs. Saleem was very much worried about
B. Common cardinal vein and phrenic nerve the site of Implantation of her embryo as she
C. Posterior cardinal vein and phrenic vein had previous ectopic pregnancy which ends up
D. Anterior and posterior cardinal vein with termination. What is the common site of
E. Phrenic nerve and cardiac plexus abnormal Implantation
48. Immediately after birth, a baby born to a A. Fallopian tube
diabetic mother, had difficulty in breathing. B. Cervix of uterus
The baby became cyanotic and died. C. Ovary
Postmortem histologic examination revealed D. Body of uterus
collapsed alveoli. What is the probable E. Omentum
diagnosis 53. A 25 years old primigravida visited her
A. Congenital emphysema obstetrician with complaint of severe headache
B. Respiratory distress syndrome and frequent urination, after detailed
C. Cystic fibrosis examination and investigation preeclampsia
D. Tracheoesophageal fistula was diagnosed. She was advised to monitor
E. Pulmonary carcinoma her Blood pressure for fetal wellbeing. The
49. A 30 years alcoholic mother gives birth to most effected organ in this disease is placenta,
baby boy, who have same craniofacial the fetal component of placenta is formed by;
abnormalities involving sphenoid bone. Which A. Decidua basalis
portion of the embryonic skull contributes in B. Amnion
development of the sphenoid bone? C. Decidua parietals
A. Membranous neurocranium D. Chorion frundosum
B. Branchial cartilage E. Chorion laeve
C. Membranous viscerocranium 54. At birth, an infant present with a stomach
D. Cartilaginous viscerocranium that has herniated into the thorax due to
E. Cartilaginous neurocranium. congenital diaphragmatic hernia, which of the
50. After fertilization of ovum, the corpus following component is responsible for
luteum continues to produce progesterone. If herniation of stomach?
the corpus luteum regresses in the first A. Pleuroperitoneal membrane
trimester, abortion occurs. Which of the B. Right crus
following hormones maintains corpus luteum? C. Left crus
A. Estradiol D. Esophageal hiatus
B. Luteinizing hormone E. Septum transversum
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55. Smooth muscle in the wall of gut le E. Kidney collecting tubules
derived from which of the following? CVS
A. Splanchnic layer of lateral plate mesoderm 60. If the sinus Venosus of fetus fails to
B. Endoderm develop then which of the following is likely
C. Parietal layer of lateral plate mesoderm to be absent:
D. Neural crest cell A. Smooth area of right atrium
E. Surface ectoderm B. Left atrium
56. While doing an ultrasound of a mother C. Left pulmonary artery
with 25 weeks of pregnancy, the report comes D. Right ventricle
with less amount of amniotic fluid. Which of E. Right pulmonary artery
the following facts is not related to amniotic 61. The cardiac jelly formed around the heart
fluid? tube during early development contributes to
A. Can be taken out from mother for the formation of which of the following
examination structure:
B. Restrict the movements of fetus A. Visceral Pericardium
C. Allows the growth of the fetus B. Ventral Mesocardium
D. Act as a barrier to infection C. Myocardium
E. At full term amount is about 1000 ml D. Dorsal Mesocardium
57. A woman of child bearing age complaints E. Endocardium
of repeated abortions. The attending doctor is 62. In adults sometime an opening between
worried about the implantation of ovum in the right and left atria of fetal life persists that
uterus of mother. Most important event opening is called:
resulting in implantation of fertilized ovum is: A. Foramen ovale
A. Formation of blastocyst B. Coronary sinus
B. Disintegration of zona pellucida C. Sinus venosus
C. Formation of decidua D. Truncus arteriosus
D. Separation of trophoblastic cells and the E. Atrioventricular canal
inner cell mass 63. A 05 days old baby boy get cyanosed on
E. Start of cleavage crying was brought to emergency department
58. A newborn presented with Omphalocele in and diagnosed as a case of patent foramen
pediatric surgery ward duty doctor while ovale. Embryologically this defect is
discussing the case told that this occurs associated with which of the following
because of failure of physiological herniation structure:
to return back in abdominal cavity, which is A. Septum primum
normally seen in which week of development: B. Septum secundum
A. During 1st to 2nd week C. Septum spurium
B. During 3rd to 4th week D. Intra-atrial defect
C. During 6th to 10th week E. Intra-ventricular defect
D. During 4th to 5th week 64. A young boy has blood pressure 160/110
E. During 6th to 8th week mm Hg in the right arm and 140/90 mm Hg in
59. Cells of adrenal medulla are derived from the left arm with weak femoral pulse. The
neural crest, which of the following cell have most likely site of lesion is:
same embryonic origin: A. Ductal Coarctation
A. Preganglionic sympathetic neurons B. Narrowing abdominal aorta
B. Mandible C. Obliteration of left axillary artery
C. Thymus D. Post ductal Coarctation of aorta
D. Ectoderm E. Pre ductal Coarctation of aorta
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65. In preductal type of aortic venosus D. Cardiac loop
(narrowing), ductus arteriosus persists. What E. Incorporation of the pulmonary vein
is the embryological origin of ductus 71. Which one of the following is not the
arteriosus? feature of teratology of Fallot?
A. Left sixth aortic artery A. Atrial septal defect
B. Left atrium B. Pulmonary stenosis
C. Pulmonary artery C. Ventricular septal defect
D. Dorsal aorta D. Overriding aorta
E. Right sixth aortic artery E. Right ventricular hypertrophy
72. In absence of inferior vena cava blood
66. A pregnant lady referred for ultrasound for from caudal part of body reaches the heart by
fetal wellbeing reports of scan show non-spiral the way of azygous vein. Name the
course of conotruncal septum. Which embryological source of origin of azygous
congenital defect you may see in the newborn vein.
A. Tetralogy of Fallot A. Posterior cardinal
B. Patent truncus arteriosus B. Supra cardinal
C. Transposition of great arteries C. Supra and sub cardinal.
D. Coarctation of aorta D. Posterior cordial and supra cardinal
E. Foramen ovale E. Sacro cardial
67. Foramen ovale is present in which of the RESPI.
following structure: 73. The cartilaginous, muscular & connective
A. Septum secundum tissue component of primary bronchi develop
B. Septum primum from:
C. Septum spurium A. Somatopleuric mesoderm
D. Crista terminalis B. Endoderm
E. Left ventricle C. Ectoderm
68. An infant born with difficulty in breathing D. Splanchnopleuric mesoderm
& swallowing on MRI examination doctor E. Neural crest cells
found vascular ring surrounds the trachea & 74. Maldevelopment of the tracheoesophageal
esophagus. Which of the following vascular septum leads to abnormal communication
abnormality may present in this case? between which of the following:
A. Right aortic arch A. Laryngotracheal tube and nasopharynx
B. Abnormal origin of left subclavian artery B. Esophagus and nasopharynx
C. Double superior vena cava C. Laryngotracheal tube and esophagus
D. Coarctation of aorta D. Laryngotracheal tube and oropharynx
E. Double aortic arch E. Esophagus and oropharynx
69. In adult heart fossa ovalis represent: 75. A 03-day old baby boy was brought to the
A. Septum secundum pediatric clinic due to breathing difficulties
B. Septum primum and poor feeding. After examination and
C. Septum intermedium radiography most common type of
D. Septum spurium tracheoesophageal fistula was diagnosed. This
E. Sinus venaru fistula likely to be resulted from:
70. The smooth portion of the left atrium is A. Failure of the tracheoesophageal ridges to
derived from: fuse
A. The coronary sinus B. Incomplete formation of the septum
B. Expansion of the primitive left atrium secundum
C. Incorporation of the sinus venosus C. Incomplete recanalization of the larynx
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D. Failure of the buccopharyngeal membrane A. Bone of pectoral girdle
to rupture B. Bones of lmbs
E. Incomplete formation of the septum C. Bones of pelvis
primum D. Sternum
E. Bony part of rib
80. Which of the following bones are formed
SKELETAL SYSYTEM
from somites?
76. Complete absence of skeletal muscle of
A. Skull bones totally
upper limb is the defect of which germ layer:
B. Vertebrae only
A. Ectoderm
C. Ribs and vertebrae
B. Endoderm
D. Radius and ulna
C. Paraxial mesoderm
E. Ribs
D. Splanchnic mesoderm
E. Parietal mesoderm 81. Hand and foot plate are formed in which
week of the development:
77. Six months old baby boy was brought to
A. 4th week
orthopedic surgeon for absence of radius.
B. 5th week
Maldevelopment of which structure is
C. 6th week
responsible for this defect:
D. 7th week
A. Dermatome
E. 8th week
B. Intermediate mesoderm
C. Paraxial mesoderm 82. During ultrasound examination, multiple
D. Lateral plate mesoderm fractures of the long bones of the fetus are
E. Neural crest cells observed. This condition is called
A. Achondroplasia
78. The femur develops from which of the
B. Marfan syndrome
following:
C. Cretinism
A. Lateral plate mesoderm
D. Osteogenesis imperfecta
B. Intermediate mesoderm
E. Acromegaly
C. Extraembryonic mesoderm
D. Somite mesoderm 83. Clavicle is developed from:
E. Sclerotome mesoderm A. Hyaline cartilage
B. Fibrocartilage
79. If the bone forming capacity of the
C. One primary center of ossification
mesenchyme is restricted to paraxial
D. Two primary centers of ossification
mesoderm, then which of the following bone
E. Only two secondary centers
only develops:

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ANSWER KEY:

Q. NO OPTION Q. O OPTION Q. NO OPTION Q. NO OPTION

1 A 22 D 43 A 64 D
2 A 23 A 43 A 65 C
3 A 24 A 45 A 66 C
4 A 25 A 46 B 67 A
5 D 26 D 47 B 68 E
6 E 27 C 48 B 69 A
7 C 28 C 49 E 70 E
8 E 29 B 50 E 71 A
9 D 30 A 51 B 72 B
10 B 31 B 52 A 73 D
11 A 32 E 53 D 74 C
12 A 33 B 54 A 75 A
13 D 34 C 55 A 76 E
14 E 35 A 56 B 77 D
15 B 36 A 57 B 78 A
16 D 37 A 58 C 79 E
17 C 38 A 59 A 80 C
18 D 39 A 60 A 81 C
19 D 40 A 61 A 82 D
20 C 41 A 62 A 83 D
21 C 42 A 63 B

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HISTOLOGY

1. Which of the following is not a characteristic 7. Which structure is responsible for the linkage
of Hematoxylin-Eosin staining? of the intermediate filaments of cells to the
A. Nuclei appears as blue basement membrane?
B. Cytoplasm appears as pink or red A. Macula adherens
C. Elastic fibers appear as Blue or black B. Zonula adherens
D. Collagen appear as pink C. Hemidesmosomes
E. Muscle fiber stain as pink D. Zonula occludens
2. During a repair of a wound, collagen fibers are E. Focal contacts
actively synthesized by: 8. While looking the slide of a hyaline
A. Fibroblast cartilage. The space surrounding the
B. Fibrocytes chondrocytes is known as:
C. Macrophages A. Lacuna
D. Mast cells B. Vacuole
E. Cells with pigment granules C. Canaliculi
3. Cell membrane consists of a bilayer of: D. Intercellular space
A. Glycoprotein molecules E. Bilateral space
B. Glycolipid’s molecules 9. A First Year MBBS Student observe a slide of
C. Phospholipid’s molecules elastic cartilage, he sees histological feature of
D. Cholesterol molecules elastic cartilage are:
E. Protein molecules A. Lacks collagen fibers
4. Cells that secret mucus directly and B. Has elastic fibers that are dense around
specifically is known as: chondrocytes
A. Goblet cells C. Is present in sac Eustachian tube and
B. Epithelial cells Epiglottis
C. Endocrine cells 10. Simple columnar epithelium lines the
D. Exocrine cells lumen of:
E. Holocrine cells A. Small intestine
5. While examining a histological slide of a B. Ureter
bone. Which of the following cells will not be C. Blood Vessels
seen in this slide? D. Trachea
A. Fibroblast E. Esophagus
B. Osteoblast 11. The transitional epithelium is present in:
C. Osteocyte A. Respiratory tract
D. Osteoclast B. Gastrointestinal tract
E. Osteophyte C. Urinary tract
6. Collagen found in hyaline cartilage is; D. Blood Vessels
A. Type I collagen E. Uterus
B. Type II collagen 12. The mitochondria;
C. Type III collagen A. Helps in cell division
D. Type IV collagen B. Helps in digestion
E. Type V collagen C. Is the energy house of cell
D. Produces RNA
E. Produces DNA
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E. Synovial membrane
13. The organelle that contains digestive 19. A middle-aged person came to the
enzymes is: nephrologist with the history of recurrent renal
A. Mitochondria stones, may be caused by bone resorption,
B. Golgi apparatus which one of the following cells is responsible
C. Lysosome for this activity?
D. Endoplasmic reticulum A. Fibroblasts
E. Ribosome B. Chondrocytes
14. The reversible process in which one type C. Osteoblasts
of epithelial tissue undergoes transformation D. Osteoclasts
into another type is called: E. Osteocytes
A. Anaplasia 20. A young girl went to the physician with
B. Metaplasia the complain of pain in the pinna of the ear,
C. Neoplasia which Is mainly the cartilaginous structure,
D. Dysplasia what type of cartilage is present at this site?
E. None of the above A. Fibro cartilage
15. The adjacent peripheral doublets in cilia B. Elastic & fibro cartilage
are joined by highly extensible proteins called: C. Elastic & hyaline cartilage
A. Radial D. Elastic cartilage
B. Dyosine E. Hyaline cartilage
C. Necis 21. Presence of BIBEREK GRANULES
D. Axoneme (tennis racket like) is the hallmark of which
E. Desceme one of the following cells of skin?
16. Intercellular junctions show the junctional A. Nerve cells
complex in the: B. Keratinocytes
A. Connective tissue C. Melanocytes
B. Epithelial tissue D. Langerhans cells
C. Muscular tissue E. Meckel cells
D. Nervous tissue 22. Which one of the following organs
E. Neuroglial tissue contains capillaries characterized by
17. A Histological section is characterized fenestrations within the endothelial cells along
by the presence of the brush borders in certain with the discontinuous basal lamina?
types of epithelial tissue is due to the presence A. Muscular tissue
of which one of the following? B. Kidney
A. Mucus C. Brain
B. Cilia D. Bone marrow
C. Desmosomes E. Endocrine glands
D. Stereocilia 23. Randomly distributed immune cells
E. Microvilli (lymphocytes) that are found in respiratory
18. Synovial fluids examination of a patient tract, GIT and genitourinary tracts are called?
with rheumatoid arthritis reveals the presence A. Lymphoid follicles
of type-II collagen. Which of the following B. White pulp
tissues is eroded in this case? C. Payer's patches
A. Vascular endothelium D. Lymph nodes
B. Compact bone E. Diffuse lymphatic tissue
C. Vascular smooth muscle
D. Articular cartilage
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ANATOMY 1st YEAR MBBS
SKIN B. Stratum basale
24. Regarding layers of skin: C. Stratum corneum
A. Basal cells are cuboidal or low columnar D. Stratum granulosum
B. Basement membrane and basal cells are E. Stratum spinosum
attached by hemi-desmosomes. 30. Epidermal cells change their shape from
C. Langerhans cells are present in all layers dorsal layer to stratum corneum. Which type
of epidermis of cells are present in superficial layer:
D. Fibers are more in papillary as compare to A. Cuboidal keratinized epithelium
reticula dermis B. Columnar epithelium
E. Keratinocytes are attached by desmosomes C. Squamous non keratinized epithelium
25. Which of the following is not included in D. Pseudostratified epithelium
skin appendages? E. Squamous keratinized epithelium
A. Hair follicles & Nail 31. A 20-year-old man after full thickness
B. Sweat glands burn over the dorsum of the hand requires
C. Sebaceous glands local flap of normal skin and subcutaneous
D. Arrector pili muscle tissue. Which of the following layer is best
E. None of these option for successful graft?
26. Which of the following type of epithelium A. Basal layer
is found in skin: B. Subcutaneous fat
A. Simple squamous epithelium C. Stratum corneum
B. Pseudostratified squamous epithelium D. Deep dermis
C. Stratified squamous epithelium E. Stratum lucidum
D. Stratified columnar epithelium LYMOHOID ORGANS
E. None of above 32. A histologist while differentiating
27. A 35-year-old man sustain a full thickness lymphoid organ, on basis of which
burn over the dorsum of the forearm. A local characteristics feature marked the lymphoid
flap of normal skin and subcutaneous tissue is organ as thymus?
grafted into the defect which remains A. Chief cells
successful because of horizontally oriented B. Lymphoid nodules
vessels in which of the following layers? C. Hassall's corpuscles
A. Basal layers D. Brunner's Gland
B. Deep dermis E. Basket cells
C. Stratum coreneum 33. Lymphatic nodules which are the main
D. Stratum lucidum histological feature of lymph node are located
E. Subcutaneous fat in which part of lymph node?
28. Which layer of epidermis contain cells A. Para cortical zone
with no nuclei or granules: B. Tertiary cortex
A. Stratum granulosum C. Deep cortex
B. Stratum corneum D. Outer cortex
C. Stratum decidua E. Juxtamedullary cortex
D. Stratum basale 34. Histology teachers want to know the
E. Stratum spinosum characteristic feature of Thymus which is:
29. Which one of the following layers of A. Waldyer’s ring
epidermis is characterized by presence of B. Hassall's corpuscle
desmosomes Junctions as sprickles between C. Red pulp
the cells called as prickle cell layer? D. Cords of Billroth
A. Stratum Lucidum E. White pulp
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D. Lymphoid nodules are present in the
35. A pathologist received a specimen of cortex
lymphoid organ which on microscopic E. Majority of lymphocytes gain entry via the
examination showing a part of Structured afferent lymphatic vessels
Covered by Stratified squamous epithelium. MUSCULAR SYSTEM
Which of the following showing such 41. A histologist examines a slide of smooth
histological findings? muscle, he observed the histological features
A. Thymus of smooth muscle are:
B. Lymph node A. They are involuntary muscle
C. Spleen B. They are present in blood vessels
D. Palatine tonsil C. These are also called striated muscle
E. Liver D. These muscles are arranged at periphery
36. After maturation in thymus T lymphocyte 42. The intercalated disc is microscopic
migrate preferentially to which of the feature of which of the following:
following sites? A. Smooth muscle
A. Paracortex of lymph nodes B. Cardiac muscle
B. Cortical lymphoid nodules of lymph nodes C. Skeletal muscle
C. Hilus of lymph nodes D. Fibrous
D. Lymphoid nodules of tonsil E. Epithelium
E. Lymphoid nodules of the spleen 43. The Epimysium is a connective tissue that
37. Medullary cords in the medulla of lymph surrounds which of the following structure?
nodes are aggregation of? A. Muscle fascicles
A. Lymphocytes B. Small bundles of muscle cells.
B. T - Lymphocytes and Plasma cells C. Individual muscle fibers.
C. B - Lymphocytes and plasma cells D. An entire muscle
D. Plasma cells E. Individual myofibrils
E. Reticular cells and Lymphocytes 44. A histological section of muscular tissue
38. The entire lymphatic region of the spleen observed by group of students under
is called as which one of the following? microscope is characterized by the presence
A. Malpighian tube numerous mitochondria. This type of muscular
B. Trabeculae tissue is an example of branching muscular
C. White pulp fibers, large T-tubules appear as diads at Z
D. Red pulp lines.
E. Cords of billroth A. Skeletal & cardiac muscle
39. Cords of billroth are found in: B. Skeletal & smooth muscle
A. Tonsil C. Skeletal muscle
B. Appendix D. Cardiac muscle & smooth muscle
C. Spleen E. Cardiac muscle
D. Lymph node CIRCULATORY SYSTEM
E. Thymus 45. During a histology practical class student
40. Following are the features of lymph node, were shown a microscopic section of a blood
except: vessel & were asked the name of lining
A. Germinal centers are found in superficial epithelium. Which of the following epithelium
cortex composed of B-cells would be the best reply?
B. Paracortex composed of T-cells A. Simple columnar epithelium
C. Plasma cells are the major cells in B. Pseudostratified ciliated column
medullary cords Epithelium
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ANATOMY 1st YEAR MBBS
C. Stratified columnar epithelium B. Pancreas
D. Simple cuboidal epithelium C. Intestine
E. Simple squamous epithelium D. Muscles
46. A histological section under microscope E. Liver
shows well defined simple squamous RESPIRATORY SYSTEM
epithelium in tunica intima. Walls are less 52. While examining a slide of an organ,
muscular having abundant elastic tissue. trachea from respiratory system. The
Which type of vessel it is? epithelium is identified Is:
A. Venules A. Pseudostratified columnar ciliated
B. Distributing artery epithelium
C. Arteriole B. Simple columnar epithelium
D. Conducting artery C. Simple squamous epithelium
E. Muscular artery D. Simple cuboidal epithelium
47. Which of the following possesses a E. Stratified squamous epithelium
distinct internal elastic lamina? 53. A 30 years old lady visited at ENT clinic
A. Capillary with complain of nose bleeding(epistaxis). On
B. Metarteriole examination swelling was found in the region
C. Arteriole of vestibule. Biopsy was taken for histological
D. Muscular artery examination. The mucosa of vestibule is lined
E. Vein. by:
48. A tissue sample is taken from the blood A. Stratified epithelium
vessels with the histological features of B. Stratified squamous non keratinized
prominent internal elastic lamina. Which one epithelium
of the following type of vessels containing C. Endothelium
above mentioned microscopic features? D. Simple cuboidal epithelium
A. Muscular Artery E. Pseudostratified epithelium
B. Elastic Artery
C. Arteriole 54. The olfactory epithelium located in the
D. Small muscular Artery roof of nasal cavity on either side of nasal
E. Capillaries septum is lined by tall columnar epithelium
49. Which of the following is the thickest and consists of olfactory cells. Apart from
layer in the wall of veins? olfactory cells, other cells present at this site
A. Internal elastic lamina are:
B. Sub-endothelial connective tissues A. Smooth muscle cells
C. Tunica adventitia B. Clara cells
D. Tunica intima C. Bipolar nerve cells
E. Tunica media D. Sustentacular cells
50. Which part of vascular system is E. Short cells
responsible for regulation of blood pressure? 55. A medical student was suffering from
A. Elastic artery chronic respiratory infection he was advised
B. Muscular artery for biopsy of respiratory tract by ENT
C. Arteriole specialist which reveals alteration in which of
D. Venules the following epithelial structure?
E. Lymphatic A. Hemidesmosomes
51. Sinusoidal capillaries are seen in which of B. Cilia
the following? C. Desmosome
A. Kidney D. Microvilli
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ANATOMY 1st YEAR MBBS
E. Stereocilia

ANSWER KEY:

1 C 15 D 29 E 43 D
2 A 16 B 30 E 44 E
3 C 17 E 31 D 45 E
4 A 18 D 32 C 46 D
5 A 19 D 33 D 47 D
6 B 20 D 34 B 48 A
7 A 21 D 35 C 49 E
8 A 22 E 36 A 50 C
9 B 23 E 37 C 51 E
10 A 24 C 38 C 52 A
11 C 25 D 39 C 53 B
12 C 26 C 40 E 54 D
13 C 27 B 41 A 55 B
14 B 28 B 42 B

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examination the physician found following
GROSS: LOWER LIMB lymph node group to be enlarged:
1. A 50 years old passenger received a wound to A. Vertical group of superficial inguinal
upper medial thigh, died of bleeding in less lymph nodes
than 5 minutes. What was the most likely B. Horizontal group of superficial
nature of his injury? inguinal lymph nodes
A. Femoral artery was cut at the inguinal C. Deep inguinal lymph nodes
ligament D. Popliteal lymph node
B. Femoral artery was cut at the apex of E. Lymph node of cloquet
the femoral triangle 6. An MRI examination reveals that the popliteal
C. Femoral artery was cut at the hiatus vessels were injured when distal fragment of
Magnus the fractured femur was pulled posteriorly.
D. Femoral vein was transected Which of the following muscle is responsible
E. Profunda femoris artery was divided at in displacing the distal fractured fragment:
its origin A. Soleus
2. Arteriography of an old female reveals a B. Gastrocnemius
possible cause for her limb pain. The artery C. Semitendinosus
that was occluded is one that passes above the D. Semimembranosus
superior border of the interosseous membrane. E. Gracilis
Which of the following arteries is most likely 7. A 50 years old man slipped, now complaint of
affected? inability to flex his leg at the knee joint and
A. Profunda femoris extend his thigh at the hip joint. Which of the
B. Popliteal following muscle was affected as accident?
C. Posterior tibial A. Semitendinosus
D. Peroneal B. Sartorius
E. Anterior tibial C. Gracilis
3. Radiograph examination of patient reveals D. Quadriceps femoris
avulsion fracture of greater trochanter. Which E. Adductor Magnus
of the following muscles would still continue 8. An examination of your patient’s injured knee
to function normally: reveals excessive posterior movement of the
A. Obturator internus tibia on the femur. The chief ligament
B. Obturator externus preventing posterior sliding of the tibia on the
C. Gluteus Medius femur is:
D. Gluteus maximus A. Fibular collateral ligament
E. Gluteus minimus B. Tibial collateral ligament
4. A 21-year-old man was involved in a C. Oblique popliteal ligament
motorcycle accident, resulting in destruction D. Anterior cruciate ligament
of the groove on the plantar surface of the E. Posterior cruciate ligament
cuboid bone. Which of the following muscle 9. All of the following are the branches of
tendon is most likely crushed? dorsalis pedis artery Except:
A. Flexor hallucis longus A. Lateral tarsal artery
B. Peroneus brevis B. 1st dorsal metatarsal artery
C. Peroneus longus C. 2nd dorsal metatarsal artery
D. Tibialis anterior D. Medial tarsal artery
E. Tibialis posterior E. Arcuate artery
5. A patient visits the outpatient department with 10. All of the following are tributaries of great
an infection in the first digital cleft of foot. On saphenous vein Except:
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ANATOMY
A. Superficial epigastric vein
B. Superficial circumflex iliac vein
C. Deep external pudendal vein
D. Superficial external pudendal vein
E. Accessory vein
11. All of the following are parts of femur
Except:
A. Greater trochanter
B. Linea aspera
C. Iliac tubercle
D. Intercondylar notch
E. Neck
12. Housemaid knee is inflammation of:
A. Popliteal bursa
B. Supra-patellar bursa
C. Pre-patellar bursa
D. Superficial infra-patellar bursa
E. Deep infra-patellar bursa
13. Regarding medial surface of tibia:
A. Is mostly subcutaneous
B. Gives origin to Tibialis anterior
C. Gives insertion to Gracilis
D. Gives origin to Sartorius,
semimembranosus and semitendonosus
E. Gives attachment to interosseous
ligament
14. Peroneus longus is inserted at:
A. Base of fifth metatarsal bone
B. Base of first metatarsal bone and
medial Cuneiform
C. Lateral surface of the shaft of fibula
D. Base of distal phalanx of big toe
E. Calcaneum
15. Branches of which nerve supply skin
beneath the nail beds:
A. Superficial peroneal nerve
B. Deep peroneal nerve
C. Tibial nerve
D. Saphenous nerve
E. Sural nerve
16. The flexor digitorum longus receives the
attachments from all of the following Except:
A. The flexor hallucis longus
B. The flexor accessorius
C. The unipennate lumbricals
D. The bipennate lumbricals
E. The interossei muscles
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17. A CT Scan examination reveals a very
large cyst in the popliteal fossa, compressing
the tibial nerve. Which of the following
movements will most likely be affected?
A. Dorsiflexion of the foot
B. Plantar flexion of the foot
C. Flexion of the thigh
D. Inversion of the foot
E. Eversion of the foot
18. An ultrasound examination reveals an
occlusion of femoral artery at the proximal
portion of the adductor canal. Which of the
following arteries, in this case, will most likely
provide the collateral circulation to the thigh:
A. Descending branch of lateral
circumflex femoral
B. Descending branch of medial
circumflex femoral
C. Descending genicular
D. Popliteal
E. First perforating branch of profunda
femoris
19. A young boy Complains of numbness of
dorsum of his right foot and inability to
dorsiflex and evert the foot. Which is the most
probable of the nerve compression that
resulted in these symptoms:
A. Popliteal fossa
B. Neck of the fibula
C. Lateral compartment of the leg
D. Anterior compartment of the leg
E. Posterior compartment of the leg
20. Regarding the muscles of the sole:
A. Flexor digitorum brevis is the muscle
of 1st layer
B. Flexor digitorum accessorius is
inserted into flexor hallucis longus
C. All lumbricals are bipennate
D. Tendon of peroneus longus forms the
3rd last
E. All interossei are unipennate
21. Which of the following is not the action of
Sartorius?
A. Flexion of thigh
B. Abduction of thigh
C. Lateral rotation of thigh
D. Adduction of thigh
21
ANATOMY
E. Medial rotation of leg
22. The following structures pass through the
sub-sartorial (adductor) canal, except:
A. Branch of obturator nerve
B. Nerve to vastus lateralis
C. The femoral artery
D. The saphenous nerve
E. The femoral vein
23. A femoral hernia descends through the
femoral canal and the neck of sac lies:
A. Below and lateral to pubic tubercle
B. Above and medial to the pubic tubercle
C. At the saphenous opening
D. In the obturator canal
E. Lateral to the iliacus muscle
24. The femoral ring is bounded by the
following structures Except:
A. Inguinal ligament
B. Superior ramus of pubis
C. Lacunar ligament
D. Femoral vein
E. Femoral artery
25. Which of the following muscle is flexor of
thigh?
A. Adductor longus
B. Vastus lateralis
C. Gracilis
D. Psoas major
E. Obturator externus
26. All of the following are branches of
femoral nerve Except:
A. Medial cutaneous nerve of thigh
B. Intermediate cutaneous nerve of thigh
C. Saphenous nerve
D. Muscular branch to Pectineus
E. Muscular branch to obturator externus
27. The floor of femoral triangle is formed by
following muscles Except:
A. Pectineus
B. The adductor longus
C. The iliacus
D. The psoas
E. The adductor brevis
28. On physical examination, a 35 years old
man was found unable to stand from stooping
position. Which nerve is suspected to be
damaged?
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A. Superior gluteal nerve
B. Inferior gluteal nerve
C. Sciatic nerve
D. Obturator nerve
E. Femoral nerve
29. A 39-year-old woman was found to have a
hernial sac in the right femoral triangle with a
marked weakness in adduction at the right hip
joint. Which nerve was likely compressed by
this herniation?
A. Femoral
B. Inferior gluteal
C. Obturator
D. Popliteal
E. Sciatic
30. After refractive force, a direct stab wound
in the upper inner quadrant of the thigh,
buttock, the patient found his walking very
difficult. Her left hip seemed down to be
tilted the left joint off the ground. Which
nerve is possibly damaged?
A. Femoral
B. Inferior gluteal
C. Obturator
D. Peroneal
E. Superior gluteal
31. A woman felt a small swelling at the top of
her thigh that was diagnosed as the femoral
hernia. Femoral hernia passes through which
of the following structure:
A. Retro inguinal space
B. Femoral canal
C. Femoral sheath
D. Femoral ring
E. Hinter’s canal
32. A young man while walking briskly on
uneven surface put its ankle under over
eversion with lateral rotation. He was not able
to put his weight on affected ankle. Which was
swollen on lateral side. There was no apparent
fracture seen on radiograph. A diagnosis of
injury to medial collateral ligament was made.
This ligament is not attached to:
A. Navicular bone
B. Medial malleolus
C. Calcaneus
D. Talus
22
ANATOMY 1st YEAR MBBS
E. Medial cuneiform 37. The muscle which performs both actions
33. A young female met with an accident of dorsiflexion and inversion is:
whom she got a deep cut across her thigh just A. Peroneus tertius
below inguinal ligament. Femoral nerve had B. Peroneus longus
been severed through deep cut. Injury to C. Peroneus brevis
femur/femoral nerve below inguinal ligament D. Extensor hallucis longus
will not show: E. Extensor digitorum longus
A. Complete loss of full extension at knee 38. The tendon passes beneath the
on Walking. sustentaculum tali in the sole of the foot is:
B. Loss of sensations over anterior and A. Tibialis posterior tendon
medial parts of thigh B. Peroneus longus
C. Loss of sensation to medial border of C. Peroneus brevis
foot D. Flexor digitorum longus
D. Paralysis of Iliacus muscle E. Flexor hallucis longus
E. Failure of quadriceps to contract 39. The tendon of which muscle with synovial
34. A fast bowler in cricket while running sheath passes through both superior + inferior
towards wicket to bowl, suddenly started extensor retinacula:
limping and unable to walk properly with A. Tibialis anterior
severe pain in attempting to walk. He has B. EHL
injured a tendon attached to ischial tuberosity. C. EDL
The group of muscle affected in this case is: D. Peroneus tertius
A. Hamstrings E. EDB
B. Quadriceps femoris 40. Intramuscular injection should be given in
C. Adductors of thigh upper outer quadrant of the buttock to prevent
D. Abductors of thigh damages to which of the following nerve:
E. Psoas major and iliacus A. Sciatic nerve
35. A long-distance runner who wears joggers B. Superior gluteal nerve
for long time is suffering from pain on the C. Obturator nerve
medial side of foot and heel. The sensations D. Tibial nerve
are abnormal. The nerve likely to be E. Common peroneal nerve
compressed is: 41. Which of the following muscle is
A. Medial planter Nerve dorsiflexion of the foot at the ankle joint:
B. Lateral planter Nerve A. Peroneus longus
C. Tibial Nerve B. Externus digitorum brevis
D. Superficial peroneal Nerve C. Extensor hallucis brevis
E. Sural Nerve D. Tibialis anterior
36. A 7 years old boy having history of high- E. Tibialis posterior
grade fever and fits, advised by his doctor for 42. The upper Lateral boundary of popliteal
lumbar puncture. Which one of the following fossa is formed by:
anatomical structures will be used as landmark A. Plantaris
for lumbar puncture? B. Gastrocnemius
A. Femur C. Semi tendinous
B. Iliac crest D. Semi membranous
C. Ischium E. Biceps femoris
D. Pubis 43. Which of the following structure does not
E. Vertebrae pass through the lesser sciatic foramen:
A. Tendon of Obturator internus
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ANATOMY
B. Nerve to Obturator externus
C. Pudendal nerve
D. Internal pudendal vessel
E. Nerve to Obturator Internus
44. The structure which pierces the fascia lata
and saphenous opening is:
A. The profunda femoris artery
B. The profunda femoris vein
C. The superficial epigastric vein
D. The inferior epigastric vein
E. Great saphenous vein
45. The femoral sheath is formed by which of
the following layers of fascia:
A. The fascia iliaca and fascia
transversalis
B. The fascia lata and the membranous
layer of the superficial fascia
C. The psoas fascia and fatty layer of
Superficial fascia
D. The lumbar fascia
E. The pectineal fascia
46. Which nerve is subcutaneous:
A. Superficial peroneal nerve
B. Common peroneal nerve
C. Femoral nerve
D. Tibial nerve
E. Sciatic nerve
47. How many tarsal bones are there?
A. 14
B. 18
C. 16
D. 12
E. 10
48. Which structure is the most medial in the
femoral sheath?
A. Femoral nerve
B. Femoral artery
C. Femoral vein
D. Femoral lymph vessels
49. The muscle known for tailor master:
A. Sartorius
B. Iliacus
C. Pectineus
D. Psoas major
E. Flexor digitorum longus
50. The largest muscle of body is:
A. Gluteus maximus
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B. Sartorius
C. Adductor longus
D. Adductor Magnus
E. Gastrocnemius
51. A 45 years old diabetic patient comes to
diabetalogist with complains of loss of
sensation at the anteromedial surface of leg.
Which one of the following cutaneous nerves
is responsible for its sensory nerve supply?
A. Saphenous nerve
B. Superficial peroneal nerve
C. Deep peroneal nerve
D. Femoral nerve
E. Tibial nerve
52. A 34 years old labour visits O.P.D because
he has difficulty in walking. During physical
examination it observed that the patient has
problem unlocking the knee joint to permit the
flexion of leg. Which of the following muscle
is most likely damaged?
A. Popliteus
B. Gastrocnemius
C. Bicep femoris
D. Rectus femoris
E. Semi membranous
53. A 15 years school boy while playing
basketball, he receives a severe injury to his
left knee joint. On X - Ray fracture of neck of
fibula was diagnosed. Which of the following
artery damage in this case?
A. Anterior tibial artery
B. Posterior tibial artery
C. Lateral planter artery
D. Medial planter artery
E. Peroneal artery
54. A 34 years old male athlete visits the
O.P.D complain of pain in his foot for the past
week. Physical examination reveals
inflammation of the tough band of tissue
stretching from the calcaneus to the ball of the
foot. Which of the following conditions is
characteristic of these symptoms?
A. Dupuyten fracture
B. Pott fracture
C. Tarsal tunnel
D. Plantar fascitis
E. Rupture of spring ligament
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ANATOMY
55. A carpenter was fell from high building
and he brought to ER department, on X - Ray
examination his lateral longitudinal arch was
flattened and displacement of tarsal bone.
Which of the following is key bone of LLA?
A. Cuboid
B. Talus
C. Calcaneus
D. Metatarsals
E. Lateral cuneiform
56. Compression of anterior tibial artery in
case of anterior compartment syndrome, in
this case which artery maintain the blood
circulation in the dorsum of foot (Dorsalis
pedis artery)
A. Posterior tibial artery
B. Peroneal artery
C. Medial planter artery
D. Lateral planter artery
E. Medial malleolar artery
57. A 36 years old female received a
superficial cut on the lateral side of her foot
and admitted to ER department where wound
is red. Four days later she returns to the
hospital with fever and swollen lymph nodes.
Which group of nodes will first receive lymph
from the infected wound:
A. Popliteal
B. Deep inguinal
C. Internal iliac
D. Vertical group of Superficial inguinal
E. Horizontal group of Superficial
inguinal
58. How much bursae are usually associated
with gluteus maximus?
A. 2
B. 3
C. 4
D. 5
E. 6
59. During dissection of leg student find out
tibial nerve, what is the relation of nerve with
artery:
A. Artery is lateral throughout its course
B. Artery is lateral to nerve than anterior
C. Artery is medial to nerve in lower part
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1st YEAR MBBS
D. Artery is lateral than ant than medial to
nerve
E. Artery is medial than Lateral to artery
60. All of the following muscle are supplied
by femoral nerve except:
A. Psoas major
B. Iliacus
C. Quadriceps femoris
D. Pectineus
E. Sartorius
61. Superficial peroneal nerve supplies:
A. Anterolateral surface of leg
B. Anteromedial surface of leg
C. Posterior surface of leg
D. Anterior surface of leg
E. Lateral side of arm
62. Which is the largest bone of the human
body:
A. Femur
B. Hip
C. Sternum
D. Tibia
63. In which Quadrant of buttock
intramuscular injection are given:
A. Upper lateral
B. Upper medial
C. Lower lateral
D. Lower medial
64. After injury and severe bleeding from foot
area, the doctors decided to ligate the femoral
artery in adductor canal. The surgeon is not
worried about damage to:
A. Femoral nerve
B. Femoral vein
C. Saphenous nerve
D. Nerve to vastus medialis
E. Terminal part of Obturator nerve
65. An elderly lady had a fall in bath room,
after which she was unable to get up or walk.
On X ray examination it was found to be
fracture of neck of femur. There is danger of
avascular necrosis of head of femur. The
integrity of which artery is essential for
prevention of this condition:
A. Medial circumflex femoral Artery
B. Lateral circumflex femoral Artery
C. Obturator Artery
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ANATOMY
D. Superior gluteal Artery
E. Inferior gluteal Artery
66. An adult patient has a loss of skin
sensation and paralysis of muscle on plantar
aspect of medial side of foot. Which of the
following nerves is most likely damaged?
A. Tibial nerve
B. Superficial peroneal nerve
C. Deep peroneal nerve
D. Common peroneal nerve
E. Sural nerve
67. Abductors of hip joint are:
A. Iliopsoas & rectus
B. Piriformis & Quadratus femoris
C. Gluteus maximus & hamstring muscles
D. Gluteus Medius & Gluteus minimus
E. Pectineus & Gracilis
68. The sciatic nerve enters the gluteal region
through:
A. Anterior sacral foramina
B. Posterior sacral foramina
C. Greater sciatic foramen
D. Obturator foramen
E. Lesser sciatic foramen
69. The floor of the acetabulum is non
articular and is called:
A. Acetabular fossa
B. Acetabular notch
C. Capsule
D. Fovea capitus
70. Intertrochanteric line is the connection
between two trochanters:
A. Anteriorly
B. Posteriorly
C. Medially
D. Laterally
71. The trochanteric anastomosis provides
main blood supply to the:
A. Head of femur
B. Neck of femur
C. Greater trochanter
D. Lesser trochanter
72. Which bone does not part in the formation
of knee joint:
A. Fibula
B. Femur
C. Tibia
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D. Patella
73. Which surface of calcaneum contains most
of the tubercles:
A. Inferior
B. Superior
C. Anterior
D. Posterior
74. A boy of 10 years of age developed
infection of lateral border of little toe of foot.
The infection from this site can be first
transmitted through lymphatics to which of the
groups of lymph nodes:
A. Deep inguinal group
B. External iliac group
C. Popliteal group
D. Vertical chain of Superficial inguinal
group
E. Horizontal chain of Superficial
inguinal group
75. An elderly man visited the doctor with
complains of cramp like condition after
walking for 10 minutes. After examination and
Doppler ultrasound, a diagnosis of intermittent
claudication was made. The ultrasound
revealed the blockage of right femoral artery
near its lower end. The blood supply of right
lower leg is maintained to prevent gangrene.
Which of the following arteries will not take
part in collateral circulation:
A. Perforating branches of profunda
femoral artery
B. Muscular branches of femoral artery
C. Genicular branches of femoral artery
D. Muscular branches of popliteal artery
E. Genicular branches of popliteal artery
76. The structure that prevents dislocation of
femur forward at knee joint:
A. Posterior cruciate ligament
B. Anterior cruciate ligament
C. Medial collateral ligament
D. Lateral collateral ligament
E. Popliteus tendon
77. The largest nerve of the body is;
A. Sciatic nerve
B. Femoral nerve
C. Radial nerve
D. Sural nerve
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ANATOMY 1st YEAR MBBS
E. Ulnar nerve C. Extended toes
78. The ‘foot drop’ is caused by damage to; D. Paralysis of extensor muscles of leg
A. Sciatic nerve E. Paralysis of Tibialis anterior muscle
B. Common peroneal nerve 85. Integrity of which of the following
C. Posterior cutaneous nerve ligaments is very important while walking
D. Plantar nerve down stairs:
E. Radial nerve A. Anterior cruciate ligament
79. The Sesamoid of the lower limb is; B. Posterior cruciate ligament
A. Patella C. Lateral collateral ligament
B. Pubis D. Medial meniscus
C. Tarsal bones E. Ligamentum patellae
D. Calcaneum 86. Which of the following is flexor of thigh?
E. Humerus A. Adductor longus
80. About how many popliteal lymph nodes B. Vastus lateralis
are present in the popliteal fossa: C. Gracilis
A. 2 D. Psoas major
B. 4 E. Obturator externus
C. 6 87. During a football match a player falls on
D. 8 the ground and has injury in knee joint.
E. 10 Keeping in view the structure of the knee joint
81. How many retinacula are present around which of the following structure is intra-
ankle? articular;
A. 1 A. Arcuate popliteal ligament
B. 2 B. Oblique popliteal ligament
C. 3 C. Anterior cruciate ligament
D. 4 D. Ligamentum patellae
E. 5 E. Lateral collateral ligament
82. During a ward round, a group of students 88. A 30-year-old male was brought to
check the patellar (knee jerk) reflex. This emergency department with profuse bleeding
reflex determines the integrity of which from thigh. In order to stop the bleeding,
segment of spinal cord; doctor tried to locate & compress the femoral
A. L2, L3, L4 artery over inguinal ligament. Inguinal
B. L4, L5 ligament is part of which of the following
C. L5, S1 muscle?
D. S1, S2 A. Transverses abdominus
E. S2, S3 B. Internal oblique
83. Patient experiences weakness in C. Rectus abdominus
dorsiflexion and inverting the foot. Which one D. External oblique
of the following muscles is damaged? E. Iliacus
A. Tibialis anterior 89. After finishing marathon race a person
B. Peroneus longus feels pain in the back of the leg. After
C. Peroneus brevis examination doctor observed sprain of
D. Flexor digitorum longus tendocalcaneous. Which of the following
E. Peroneus tertius muscle is attached though tendocalcaneous?
84. Injury to tibial nerve leads to: A. Popliteus
A. Loss of sensation on sole of foot B. Gastrocnemius
B. Foot drop C. Tibialis posterior
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ANATOMY
D. Flexor digitorum longus
E. Flexor hallucis longus
90. A 25-Year-old patient during road accident
leads to loss of skin sensation on medial side
of leg. Which of the following nerve is most
likely damaged?
A. Saphenous nerve
B. Superficial peroneal nerve
C. Tibial nerve
D. Deep peroneal nerve
E. Sural nerve
91. 5 years old boy suffered from
poliomyelitis which affected his anterior horn
cells at lumbar region resulting in nerve
damage leading to waddling gait. Which set of
muscles are paralyzed?
A. Gluteus minimus & piriformis
B. Gluteus minimus & medius
C. Gluteus maximus & minimus
D. Obturator internus & externus
E. Deep muscles of gluteal region
92. A 30 years woman comes to doctor with
localized sharp pain at heel. After examination
and history Doctor found degenerative trauma
of plantar aponeurosis called plantar fascitis.
Plantar aponeurosis is significant because:
A. It provides attachment to muscles of
2nd layer
B. It gives 4 slips at the head of
metatarsals bones
C. It’s Thin in the center & thick at the
side
D. It maintains the longitudinal arches of
foot
E. It maintains transverse arches of the
foot.
93. A 5-year-old boy was advised
intramuscular antibiotic Course to treat his
bacterial throat infection. What is the ideal site
for intramuscular injection in gluteal region?
A. Central region
B. Inferior lateral area
C. Inferior medial area
D. Superior medial area
E. Superior lateral area
94. A 24 years old male was brought to the
hospital after road traffic accident, the X-ray
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of the Hip region showed fracture of the
acetabulum, which produces pressure on the
Greater sciatic foramen. Which of the
following structures pass through the Greater
sciatic foramen lies above the piriformis
muscle?
A. Posterior cutaneous nerve of thigh
B. Sciatic nerve
C. Superior gluteal artery
D. Inferior gluteal nerve
E. Inferior gluteal artery
95. A 35 years old man visited his GP with
complain of difficulty in extending knee few
weeks after, he sustained pelvic fracture.
Weakness of which of the following muscle is
responsible for his condition;
A. Adductor longus
B. Gracilis
C. Biceps femoris
D. Adductor Magnus
E. Quadriceps femoris
96. A 45-year-old lady visited her doctor with
the complain of not everting her foot. Damage
to which of the following muscle is
responsible for her condition?
A. Tibialis posterior
B. Tibialis anterior
C. Peroneus longus
D. Peroneus tertius
E. Flexor digitorum
97. A patient presents with the sensory loss on
adjacent side of great & 2nd toe, with the loss
of dorsiflexion of the foot. Which of the
following nerve is most likely damaged?
A. Deep peroneal nerve
B. Superficial peroneal nerve
C. Femoral nerve
D. Tibial nerve
E. Obturator nerve
98. A 20 years old patient can’t Flex &
medially rotate the leg while running &
climbing. Which of the following muscle is
most likely involved?
A. Tensor fasciae latae
B. Sartorius
C. Vastus intermedius
D. Rectus femoris
28
ANATOMY 1st YEAR MBBS
E. Semimembranosus E. Gluteus minimus
99. 9 years old was brought to the doctor with 104. A 39-year-old woman was found to have a
severe painful swelling in the groin. On hernial sac in the right femoral triangle with a
examination she was found to have infection marked weakness in adduction at the right hip
of external genitals which has spread to joint. Which nerve was likely compressed by
superficial inguinal lymph nodes. Which of this herniation?
the following group is involved in this patient? A. Femoral
A. Deep B. Inferior gluteal
B. Cloquet’s Node C. Obturator
C. Superolateral D. Popliteal
D. Inferior E. Sciatic
E. Superomedial 105. Radiographic examination of a patient
100. In a patient who has posterior dislocation reveals that the tip of the knife is against the
of hip joint, which of the following ligaments upper border of greater sciatic foramen. Which
would be torn? of the following nerves is most likely Injured?
A. Sacro tuberous A. Superior gluteal
B. Ischiofemoral B. Inferior gluteal
C. Pubofemoral C. Obturator
D. Lacunar D. Sciatic
E. Illiofemoral E. Pudenda
101. After a fall from a tree, teenage girl 106. A 23-year-old woman wearing high heeled
excessively inverts her foot & is unable to shoes Inverts and sprains her ankle while
walk properly. This movement takes place at running down the stairs, which of the
which of the following joints? following ligament is most likely injured:
A. Subtalar joint A. Medial collateral
B. Distal tibiofibular joint B. Calcaneotibial
C. Ankle joint C. Deltoid
D. Metatarsophalangeal joint D. Anterior tiblotalar
E. Interphalangeal joints E. Calcaneofibular
102. A woman aged 45 years with 05 children 107. After injury to foot and on X ray, fracture
came to doctor with complain of swelling at was found to be in Cuboid bone, there was no
medial side of her thigh which reduces on sensory loss in any part of foot. There was
lying down or sleep. What is the most likely some difficulty in Eversion of Foot. The
cause of swelling in this case? structure likely to be damaged is:
A. Lymph node enlargement A. Tendon of Tibilais Posterior
B. Pus formation B. Planter apponeurosis
C. Inguinal hernia C. Tendon of Peroneus longus
D. Femoral hernia D. Tendon of Peroneus brevis
E. Saphenous varix E. Medial Planter nerve
103. Radiograph examination of patient reveals 108. In foot injuries, if person is not able to
avulsion fracture of greater trochanter. Which Flex the metatarso-phalangeal joints and
of the following muscles would still continue extend the inter-phalangeal joints, structure
to function normally: likely to be affected is:
A. Obturator internus A. Lumbricals
B. Obturator externus B. Tendon of Tibialis Posterior
C. Gluteus medius C. Tendons of Flexor digitorum longus
D. Gluteus maximus D. Flexor digitorum accessorius muscle
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ANATOMY 1st YEAR MBBS
E. Flexor digitorum brevis B. Peroneal
109. After accident a young male devel fracture C. Posterior tibial
of pelvis with dislocation of hip, the diagnosis D. Anterior tibial
of injury to sciatic nerve in gluteal region was E. Dorsalis pedis
made, to confirm diagnosis of sciatic nerve 111. A young boy in an accident while hitting
injury which of signs is not considered? to a hard large stone developed a fracture of
A. Paralysis of Hamstrings distal third of Femur. On examination the less
B. All the muscles below knee are blood flow to leg and foot. The distal of femur
paralyze is rotated backward which increases pressure
C. Loss of sensation on posterior surface on which of the following artery?
thigh A. Posterior tibial
D. Loss of sensations over greater part of B. Anterior tibial
leg and foot C. Popliteal
E. Foot drop D. Peroneal
110. A medical student was asked to palpate E. Terminal part of femoral
arteries in lower limb whose pulsations felt
easily. Which of the following artery will not
be palpable?
A. Femoral

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ANSWER KEY:

1 B 29 C 57 A 85 B
2 E 30 E 58 B 86 D
3 D 31 B 59 D 87 C
4 C 32 E 60 A 88 D
5 A 33 A 61 A 89 B
6 B 34 E 62 A 90 A
7 A 35 A 63 A 91 B
8 E 36 B 64 A 92 D
9 C 37 D 65 A 93 E
10 C 38 E 66 A 94 C
11 C 39 C 67 D 95 E
12 C 40 A 68 C 96 D
13 A 41 D 69 B 97 A
14 B 42 E 70 A 98 B
15 C 43 B 71 A 99 E
16 E 44 E 72 A 100 B
17 B 45 A 73 A 101 A
18 E 46 A 74 C 102 D
19 B 47 A 75 B 103 D
20 A 48 D 76 A 104 C
21 D 49 A 77 A 105 A
22 B 50 A 78 B 106 E
23 A 51 A 79 A 107 C
24 E 52 A 80 C 108 A
25 D 53 A 81 E 109 D
26 E 54 E 82 A 110 D
27 E 55 A 83 A 111 C
28 B 56 D 84 A

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7. A patient has dislocation of the shoulder joint.
GROSS: UPPER LIMB After complete recovery he complains of some
1. All of the followings are correct except: restriction in causing medial rotation at
A. Radial nerve → middle collateral shoulder joint. Keeping in view which of the
artery following muscles is not medial rotator of the
B. Median nerve → brachial artery shoulder joint?
C. Radial nerve → profunda brachii artery A. Latissimus dorsi
D. Ulnar nerve → superior ulnar collateral B. Pectoralis major
artery C. Teres major
E. Axillary nerve → posterior circumflex D. Teres minor
humeral artery E. Subscapularis
8. After downward dislocation at shoulder joint
2. All are branches of radial nerve except: which action is disturbed?
A. Upper lateral cutaneous nerve of arm A. Adduction
B. Posterior cutaneous nerve of arm B. Medial rotation
C. Posterior cutaneous nerve of forearm C. Abduction
D. Nerve to medial head of triceps D. Lateral rotation
E. Nerve to lateral head of triceps E. Flexion
3. All are the branches of ulnar artery except: 9. A person falls on ground on his shoulder leads
A. Anterior ulnar recurrent artery to injury the roots of brachial plexus. Which of
B. Posterior recurrent artery the following nerves is arising from the roots
C. Common interosseous artery of the brachial plexus?
D. Palmar carpal artery A. Lateral pectoral nerve
E. Arteria princes pollicis B. Medial pectoral nerve
4. A patient comes to the doctor with arm C. Suprascapular nerve
unflexed and wrist flexed it is due to: D. Nerve to subclavius
A. Radial nerve injury E. Long thoracic nerve
B. Ulnar nerve injury 10. A teacher is asking the students about the
C. Median nerve injury short muscles of the hand. That which of the
D. Axillary nerve injury following short muscles of the hand is
E. None of above supplied by the median nerve?
5. A patient is unable to flex the proximal A. Flexor digiti minimi
interphalangeal joints as a result of paralysis B. Opponens pollicis
of which of the following muscles: C. Adductor pollicis
A. Palmar interossei D. Abductor pollicis
B. Flexor digitorum profundus E. Most medial lumbrical
C. Dorsal interossei 11. During the class discussion students
Flexor digitorum superficialis looking at the Model for structure present in
D. Lumbricals the pectoral region. Which of the following
6. A lesion of median nerve produces complete structure doesn’t form the anterior wall of
paralysis of which of the following muscles: axilla?
A. Flexor pollicis longus A. Pectoralis major
B. Flexor digitorum superficialis B. Pectoralis minor
C. Flexor digitorum profundus C. Serratus anterior
D. Pronator Quadratus D. Subclavius muscle
E. Pronator teres E. Clavipectoral fasciae

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ANATOMY
12. A patient presented to her doctor with a
small axillary mass. The doctor examined her
and found a mass in upper outer quadrant of
the breast. The lymphatics drainage of that
part
A. Pectoral axillary nodes
B. Central axillary nodes
C. Posterior axillary nodes
D. Lateral axillary nodes
E. Anterior axillary nodes
13. Shoulder joint is most Mobile joint of the
body making it a weak joint, which of the
following muscles is lying inside cavity of
shoulder joint?
A. Triceps
B. Biceps
C. Coracobrachialis
D. Brachialis
E. Teres major
14. In a lab, students are practicing to take
blood pressure for that purpose they put the
diaphragm of the stethoscope at cubital fossa
to auscultate the sound of brachial artery.
What is the relation of the brachial artery with
biceps tendon & median nerve in cubital
fossa?
A. It lies medial to both structures
B. Lies lateral to both structures
C. Lies in between both structures
D. Lies superficial to both structures
E. Lies deep to both structures
15. A doctor examines a patient who has
paralysis of thenar muscles except adductor
pollicis. His cutaneous sensations of palm are
intact. At what point the median nerve is
damaged or compressed?
A. At lower half of arm
B. Where it passes through pronator teres
C. Where it lies deep to fibrous arch of flexor
digitorum superficialis
D. At the level above the wrist
E. Under Flexor retinaculum
16. A person seems to have medial two digits
extended at metacarpophalangeal joints &
flexed at Interphalangeal joints. Which nerve
is most likely affected?
A. Median nerve
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1st YEAR MBBS
B. Radial nerve
C. Anterior interosseous nerve
D. Ulnar nerve
E. Posterior interosseous nerve
17. A person comes in emergency department
with inability to extend his hand. His elbow
movements are intact. What would be the
most likely diagnosis?
A. Damage to radial nerve above the level of
radial groove
B. Damage to radial nerve at the level of
radial groove
C. Damage to radial nerve below the level of
radial groove
D. Damage to posterior interosseous nerve
E. Damage to anterior interosseous nerve
18. In the cubital fossa, the medial cubital vein
is frequently used for venipuncture. This vein
is separated from underlying neurovascular
structures by?
A. Investing fascia of brachialis muscle
B. Fascia
C. Anconeus muscle
D. Bicipital aponeurosis
E. Tendon of the biceps brachii
19. In a group discussion, students are talking
about the muscles that act on the shoulder
girdle & upper limb that most of them are
supplied by branches of the brachial plexus.
Which of the following is not?
A. Trapezius
B. Teres minor
C. Latissimus dorsi
D. Rhomboid major
E. Levator scapulae
20. A sign board falls on the shoulder of a
person & he is shifted to hospital. He has
problem in abducting arm & the arm is
medially rotated & hand is flexed. Which part
of the brachial plexus is affected?
A. Long thoracic nerve
B. Radial nerve
C. Upper trunk
D. Middle trunk
E. Lower trunk
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ANATOMY 1st YEAR MBBS
21. Radial nerve is severed at the lower part of 26. A lady falls from the bike & has laceration
arm, which of the following functions of the over the medial side of the elbow & she can’t
thumb is totally lost? flex the metacarpophalangeal joints of the
A. Abduction medial digits. Which of the following nerve is
B. Adduction damaged?
C. Extension A. Median Nerve
D. Flexion B. Ulnar Nerve
E. Opposition C. Radial Nerve
22. A person feels difficulty in flexing the D. Anterior interosseous Nerve
digits due to pain in Flexor muscles. Which of E. Posterior interosseous Nerve
the following Flexor muscles pass under 27. A nurse is approaching for the Vein for
flexor retinaculum in separate compartment? medication. Which of the following veins is
A. Flexor digitorum superficialis lying on the ulnar border of the forearm?
B. Flexor digitorum profundus A. Median vein
C. Flexor pollicis longus B. Radial vein
D. Flexor carpi ulnaris C. Cephalic vein
E. Flexor carpi radialis D. Basilic vein
23. In anatomy lab teacher asking students E. Axillary vein
about the large muscle arising by two heads, 28. The wrist joint is a:
flexes & medially rotates arm & supplied by A. Synovial hinge joint
nerves arising from different cords of brachial B. Synovial pivot joint
plexus. Find the muscle in the following; C. Synovial ball & socket joint
A. Latissimus dorsi D. Synovial saddle joint
B. Trapezius E. Synovial ellipsoid joint
C. Deltoid 29. The structure that passes Superficial to the
D. Pectoralis major flexor retinaculum is:
E. Subscapularis A. Median Nerve
24. A patient visiting orthopedic department B. Cephalic vein
due to the restrictions of the movement at C. Abductor pollicis longus
wrist. Which of the following carpal bones D. Ulnar Artery
articulate with radius in formation of wrist E. Flexor digitorum Superficialis tendon
joint? 30. The Serratus anterior muscle is inserted
A. Trapezoid into:
B. Scaphoid A. Lateral lip of bicipital groove of humerus
C. Lunate B. Clavicle
D. Capitate C. Coracoid process of scapula
E. Trapezium D. Upper six costal cartilages
25. A boxer has difficulty in punching due to E. Medial border and inferior angle of
the weakness of the muscle arising from the scapula
medial border of scapula. Which of the 31. The nerve supplying the deltoid muscle
following muscle is this? also supplies:
A. Levator scapulae A. Supra spinatous
B. Rhomboid major B. Infra Spinatous
C. Rhomboid minor C. Teres minor
D. Serratus anterior D. Teres major
E. Pectoralis minor E. Subscapularis

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ANATOMY 1st YEAR MBBS
32. Which of the following nerve is damaged D. Superior thoracic artery
if a person is unable to oppose his thumb to E. Circumflex scapular artery
little finger: 38. The muscle pierced by musculocutaneous
A. Ulnar Nerve nerve is:
B. Median Nerve A. Triceps brachii
C. Radial Nerve B. Biceps brachii
D. Anterior Interosseous nerve C. Brachialis
E. Posterior Interosseous nerve D. Coracobrachialis
33. Supra scapular nerve originates from: E. Anconeus
A. Roots of brachial plexus 39. The lymph from the medial side of the
B. Lower cord hand drains into;
C. Lower trunk A. Infraclavicular nodes
D. Upper trunk B. Supratrochlear nodes
E. Medial Cord C. Pectoral nodes
34. A Lady with breast cancer develops D. Subscapular nodes
metastases in her vertebral column. The most E. Infratrochlear nodes
direct route is spread of tumor to vertebral 40. A football player is examined by a team of
column is by which of the following: physicians following a shoulder injury during
A. Lymphatics of axilla the game. X - ray shows inferior dislocation of
B. Tributaries of thoraco acromial vein humerus. On examination there is weakness in
C. Tributaries of Intercostal veins lateral rotation and abduction of arm. Which
D. Tributaries of Cephalic vein nerve most likely affected in this case:
E. Branches of thoracoacromial artery A. Axillary
35. Humerus of young boy Fails to rotate B. Ulnar
Laterally because of damage of which of the C. Suprascapular
following muscle: D. Radial
A. Teres major E. Musculocutaneous
B. Subscapularis 41. A patient presents with abscess in the first
C. Infra Spinatous web space of the hand. Which of the following
D. Supra Spinatous lymph node will be first affected by this
E. Teres minor infection:
36. While performing mastectomy on a 60- A. The pectoral
year-old female patient medical registrar was B. The epitrochlear
asked by consultant surgeon to help in ligating C. The supraclavicular
arteries that supply the medial side of the D. The Infraclavicular
breast. He must ligate which of the following E. The lateral
arteries 42. A patient is unable to abduct his right arm
A. Internal thoracic and supinate his forearm. Which of the
B. Posterior Intercostal following group of nerve is damaged?
C. Superior epigastric A. The whole brachial plexus
D. Musculophrenic B. The axillary nerve
E. Thoracoacromial C. The Musculocutaneous nerve
37. Which of the following arteries supplies D. The upper portion of the brachial Plexus
blood to the breast? E. lower portion of the brachial plexus
A. Internal thoracic artery 43. A 40-year-old lady underwent surgical
B. Lateral thoracic artery removal of her right breast due to breast
C. Thoracoacromial artery cancer. While removing the breast tissues the
MED DRIVE 35
ANATOMY
main blood supply was ligated. Which of the
following artery would maintain blood flow?
A. Superior thoracic
B. Deltoid
C. Pectoral
D. Clavicular
E. Acromial
44. Which of the following muscles is
extensor of the elbow joint:
A. Brachialis
B. Biceps brachii
C. Brachio radialis
D. Triceps brachii
E. Pronator teres
45. The wrist drop is caused by damage to:
A. Median nerve
B. Radial nerve
C. Ulnar nerve
D. Axillary nerve
E. Anterior interosseous nerve
46. During a motor cycle accident an 18-year-
old male lauded on right lateral side of his rib
cage with his upper limb abducted. On
examination he was found to have winging of
right scapula. Which of the following nerve is
likely to be damaged in this patient:
A. Long thoracic
B. Vagus
C. Accessory
D. Phrenic
E. Lateral pectoral
47. A new born was brought to the physician
with history of difficult labour (child birth)
which causes injury to upper trunk of brachial
plexus. Which of the following is most likely
to be seen in baby?
A. Sensation loss on medial side of arm
B. Arm lies in lateral rotation
C. Paralysis of rhomboid major & minor
D. No lateral rotation and abduction
E. Abduction lost beyond 90°
48. A 30 years old female presents with
injuries to his left elbow, her x - ray reveals a
fracture of medial epicondyle and a torn nerve
behind it. Which of the following muscles is
expected to be affected?
A. Pronator teres
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1st YEAR MBBS
B. Flexor carpi radialis
C. Flexor digitorum superficialis
D. Flexor carpi ulnaris
E. Palmaris longus
49. A 3rd year medical student fell to injure
his left arm. His X - ray shows a midshaft
humeral fracture. Which pair of structures is
injured at fracture site?
A. Median nerve and brachial artery
B. Radial nerve and profunda brachii artery
C. Axillary nerve and posterior circumflex
humeral artery
D. Long thoracic nerve and lateral thoracic
artery
E. Suprascapular nerve and suprascapular
nerve artery
50. A 15-year-old girl was brought to
emergency department with a tear of tendons
in the first dorsal compartment of the wrist
from a severe bite by a dog. The injured
tendon in this compartment would include
which of the following muscles:
A. Extensor digitorum
B. Extensor indicis proprius
C. Extensor carpi ulnaris
D. Extensor carpi radialis longus and brevis
E. Abductor pollicis longus and extensor
pollicis brevis
51. A 24 old man is admitted with a wound to
the palm of his hand. He cannot touch the pads
of his fingers with his thumb but can grip a
sheet of paper between all fingers and has no
loss of sensation on the skin of his hand.
Which of the following nerves has most likely
been injured?
A. Deep branch of ulnar
B. Anterior interosseous
C. Median
D. Recurrent branch of median
E. Deep branch of radial
52. After a forceps delivery of a male infant,
the baby presents with his left upper limb
adducted, internally rotated and flexed at the
wrist. Which part of the brachial plexus was
most likely injured during this delivery:
A. Lateral cord
B. Medial cord
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ANATOMY 1st YEAR MBBS
C. Roots of the lower trunk provides a floor for this space. Which artery is
D. Root of the middle trunk visualized?
E. Roots of upper trunk A. Ulnar
53. A patient tells to doctor that he cannot B. Radial
abduct his arm 30 to 90°. Which of the C. Anterior interosseous
following muscle is paralyzed? D. Posterior interosseous
A. Serratus anterior E. Deep palmar arch
B. Trapezius 58. A 65-year-old male fell on his elbow. His
C. Infraspinatus X - ray reveals a fracture of the surgical neck
D. Supraspinatus of the humerus, producing an elevation and
E. Deltoid adduction of the distal fragment of the
54. A 19-year-old man present with pain on humerus. Which of Which of the following
movement of wrist. There is history of fall on muscles would most likely cause the
out stretched hands few days back. abduction of the distal humeral fragment:
Examination reveals tenderness in area of A. Brachialis
snuff box. X - ray findings show a fracture of B. Teres minor
the following carpal bone: C. Pectoralis major
A. Pisiform D. Supraspinatus
B. Capitate E. Pectoralis major
C. Scaphoid 59. A 72-year-old man noticed a thickening of
D. Lunate the skin at the base of his left little and ring
E. Hamate fingers. On examination, firm ridges are
55. The spiral groove of humerus observed in the palmar skin that extend from
accommodation: the middle part of the palm to the base of the
A. Median nerve ring and little fingers. What is the medical
B. Ulnar nerve term for this lesion?
C. Axillary nerve A. Ape hand
D. Radial nerve B. Dupuyten contracture
E. Musculocutaneous nerve C. Claw hand
56. The orthopedic surgeon exposed the D. Wrist drops
muscle in the supraspinatus fossa so that she E. Mallet finger
could move it laterally, in repair of an injured 60. A 27-year-old man was admitted to
rotator cuff. As he reflected the muscle from emergency department after an accident in
its bed, an artery was exposed crossing the which he suffered a fracture of the lateral
ligament that bridges the notch in the superior border of the scapula. Six weeks after the
border of the scapula. Which artery was this? accident, physical examination reveals
A. Subscapular weakness in medial rotation and adduction of
B. Transverse cervical the humerus. Which nerve was most likely
C. Dorsal scapular injured?
D. Posterior humeral circumflex A. Lower subscapular
E. Suprascapular artery B. Axillary
57. A 22-year-old male player suffered a wrist C. Radial
injury while falling with force on his D. Spinal accessory
outstretched hand. When the anatomic E. Ulnar
snuffbox is exposed in surgery, an artery is 61. A 32-year-old woman is admitted to the
visualized crossing the fractured bone that emergency department after an accident. Her
X - ray reveals multiple fractures of the
MED DRIVE 37
ANATOMY
humerus. Flexion and supination of the
forearm are severely weakened. She also has
loss of sensation on the lateral surface of the
forearm. Which of the following nerves has
most likely been injured?
A. Radial
B. Median
C. Musculocutaneous
D. Lateral cord of brachial plexus
E. Lateral cutaneous nerve of the forearm
62. An 18-year-old boy involved in an
automobile accident present with arm that
cannot abduct. His paralysis is caused by
Damage to which the following nerves:
A. Suprascapular and axillary
B. Thoracodorsal and upper subscapular
C. Radial and lower subscapular
D. Suprascapular and dorsal scapular
63. After lymph node biopsy at posterior
triangle of neck the patient was unable to
move her arm above the head and felt
difficulty in combing her hair. Which nerve is
likely damaged?
A. Radial
B. Ulnar
C. Median
D. Accessory spinal
E. Axillary
64. The anterior and posterior circumflex
humeral arteries form an anastomosing circle
around the:
A. Anatomical neck of humerus
B. Head of humerus
C. Surgical neck of humerus
D. Greater tuberosity of humerus
E. Lesser tuberosity of humerus
65. A 17-years old boy suffers a fracture of the
shaft of the humerus as the result of an
automobile accident. After this accident,
supination is still possible through contraction
of which of the following muscle?
A. Supraspinatus
B. Pronator teres
C. Brachioradialis
D. Biceps brachii
E. Supinator
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1st YEAR MBBS
66. A 10-year-old boy falls off his bike and
feels difficulty in moving his shoulder joint.
His radiogram and angiogram reveal fracture
of the surgical neck of humerus and bleeding
from the area of the fracture. This accident
most likely leads to damage to which of the
following arteries?
A. Scapular circumflex
B. Superior ulnar collateral
C. Posterior humeral circumflex
D. Axillary
E. Profunda brachii
67. A patient had previous history of fracture
of the elbow joint, now he is unable to extend
the metacarpopharyngeal joint, although the
sensation is intact. The damage is most likely
to the
A. Posterior interosseous nerve
B. Median nerve
C. Anterior interosseous nerve
D. Radial nerve
E. Ulnar nerve
68. A 16-year-old boy fell down from
motorbike and severed his radial nerve due to
fracture of midshaft of the humerus Which of
the following condition would most likely
result from this accident?
A. The inability to abduct the fingers
B. Sensory loss over the ventral aspect of the
base of the thumb
C. Inability to oppose the thumb
D. Loss of wrist extension leading to wrist
drop
E. Weakness in probating the forearm
69. A construction worker suffered a
destructive injury of the structures related to
the anatomical snuffbox. The most commonly
injured bone in snuff box injuries is:
A. Triquetral
B. Lunate
C. Scaphoid
D. Trapezoid
E. Pisiform
70. A fracture of the humerus neck damages a
nerve running around the humeral neck. After
the fracture heals, patient noticed a marked
decrease in the ability to rise his arm over his
38
ANATOMY 1st YEAR MBBS
head. The degenerated muscle arises from 75. Injury to the anterior interosseous nerve
which of the following? could result in paralysis of which of the
A. Coracoid and acromion following muscles:
B. Acromion alone A. Flexor pollicis longus and brevis.
C. Coracoid alone B. Flexor pollicis longus and opponens
D. Clavicle and acromion pollicis
E. Clavicle and coracoid C. Flexor digitorum profundus and pronator
71. A patient has loss of sensation on the quadratus
lateral aspect of the forearm. Through which D. Flexor digitorum profundus and
of the following muscles does the nerve that superficialis
supplies this region pass: E. Flexor pollicis brevis and pronator
A. Coracobrachialis quadratus
B. Flexor carpi ulnaris 76. All of the following pairs are correctly
C. Flexor digitorum superficialis matched, except:
D. Pronator teres A. Supinator muscle → Deep branch of radial
E. Supinator nerve
72. A construction worker suffers a destructive B. Extensor carpi radialis longus muscle →
injury of the structure related to the anatomical Main trunk of radial nerve
snuff box. Which of the following structures C. Extensor carpi radialis brevis muscle →
most likely be damaged? Main trunk of radial nerve
A. Triquetral bone D. Brachioradialis muscle → Main trunk of
B. Trapezoid bone radial nerve
C. Extensor indicis tendon E. Extensor digitorum → Deep branch of
D. Abductor pollicis brevis tendon radial nerve
E. Radial artery 77. Which of the following is true regarding
73. While separating a tumor from the structures piercing the medial
Clavipectoral fascia during an operation. The intermuscular septum?
structure likely to be injured is A. Ulnar nerve
A. Thoracoacromial artery B. Superior ulnar collateral artery
B. Basilic vein C. Ulnar collateral nerve
C. Medial pectoral nerve D. A+B+C
D. Axillary vein E. None of the above
E. Subclavian vein 78. Regarding biceps brachi all are true,
74. A 27-year-old patient is given radiopaque except:
dye in preparation for an arteriogram of the A. Its long head is intracapsular
radial artery that: B. Its short head takes origin in common with
A. Enters the hand through the carpal tunnel coracobrachialis
B. Accompanies the posterior interosseous C. It is a powerful supinator
nerve in the forearm D. Its tendon has brachial artery on its lateral
C. Is the principle source of blood to the side in the cubital fossa
superficial palmar arterial arch E. It is innervated by the musculocutaneous
D. Has the princeps pollicis artery as one of nerve
its branches 79. Regarding triceps muscle:
E. Runs between the flexor digitorum A. Its long head takes origin from the
superficialis and profundus muscles supraglenoid tubercle

MED DRIVE 39
ANATOMY
B. Its lateral head takes origin from back of
the shaft of humerus below the radial
groove
C. Its medial head takes origin from back of
the shaft of humerus above the radial
groove
D. Its long head receives two branches from
the radial nerve
E. Its medial head receives two branches
from the radial nerve
80. Regarding the radial nerve:
A. It is the continuation of the medial cord of
brachial plexus
B. It passes through the quadrangular space
C. It accompanies profunda brachi artery in
the radial groove
D. It pierces the medial intermuscular septum
E. It partly innervates the coracobrachialis
muscle
81. Regarding the anastomosis around the
elbow joint, all are true,
A. Superior ulnar collateral artery → Anterior
ulnar recurrent artery
B. Inferior ulnar coll ateral artery →
Posterior ulnar recurrent artery
C. Middle collateral artery → Interosseous
recurrent artery
D. Radial collateral artery → Radial
recurrent artery
E. Superior ulnar collateral artery →
Profunda brachi artery
82. Regarding the cubital fossa all are true,
except:
A. Its medial boundary is formed by the
pronator teres muscle
B. Its lateral boundary is formed by the
brachioradialis muscle
C. It has the median nerve lying on the lateral
side of the brachial artery
D. Medial part of its floor is formed by
brachialis
E. Lateral part of its floor is formed by
supinator
83. All of the following matchings are true,
except:
A. Ulnar nerve → Medial epicondyle
B. Radial nerve → Spiral groove
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1st YEAR MBBS
C. Axillary nerve → Surgical neck
D. Musculocutaneous nerve →
Coracobrachialis
E. Median nerve → Lateral epicondyle
84. Regarding the shoulder joint all are true,
except:
A. Transverse humeral ligament bridges the
lesser and greater tubercles
B. Subscapular bursa is continuous with the
synovial membrane of the joint
C. Subacromial bursa is continuous with the
synovial membrane of the joint
D. Its inferior dislocation is common
E. It is a typical synovial joint
85. The pectoralis major muscle arises from:
A. Upper 6 (six) ribs
B. Lower 6 (six) ribs
C. Middle 1/3rd of clavicle
D. Only aponeurosis of external oblique
muscle
E. Upper 6 (six) costal cartilages
86. Which group of axillary lymph nodes
drains lymph from breast and anterior
abdominal wall:
A. Pectoral group
B. Subscapular group
C. Brachial group
D. Central group
E. Apical group
87. The branch of axillary artery which pierces
clavipectoral fascia is:
A. Superior thoracic artery
B. Lateral thoracic artery
C. Acromial artery
D. Deltoid branch
E. Thoracoacromial artery
88. Which of the following structure passes
through suprascapular foramen:
A. Suprascapular artery
B. Suprascapular vein
C. Suprascapular nerve
D. Subscapular artery
E. Dorsal scapular nerve
89. Which of the following muscles retract
scapula:
A. Trapezius
B. Trapezius and levator scapulae
40
ANATOMY 1st YEAR MBBS
C. Trapezius and latissmus dorsi his thorax. Which nerve damaged during the
D. Trapezius and two rhomboids insertion of chest drain:
E. Supraspinatus and infraspinatus A. Musculocutaneous nerve
90. Which of the following branches of B. Nerve to rhomboids
brachial plexus supplies only one muscle: C. Supra scapular nerve
A. Axillary nerve D. Long thoracic nerve
B. Dorsal scapular nerve E. Lateral thoracic nerve
C. Thoracodorsal nerve 95. Pulsation of axillary artery is felt by
D. Suprascapular nerve compressing it against the lateral wall of axilla
E. Musculocutaneous nerve at its last part. What is the relation of posterior
91. A young male fall on the outstretched hand cord of brachial plexus with its 2nd part:
and his X-ray findings shows fracture of the A. Anterior
proximal end of radius. Which nerve function B. Medial
is compromised in this fracture: C. Posterior
A. Ulnar nerve D. Lateral
B. Superficial branch of the ulnar nerve E. Superior
C. Median nerve 96. While riding a bike, a patient fall against a
D. Palmar cutaneous branch tree and fracture the shaft of the humerus at
E. Deep branch of the radial nerve mid length. Which nerve may be injured
92. Patient admit in emergency ward after the because of its close proximity to the injury:
road traffic accident and shows fracture of A. Ulnar
proximal end of radius and ulna. During B. Radial
fixation doctor noticed deep branch of radial C. Axillary
nerve was damaged but the patient has no D. Medial cutaneous
problem in wrist joint extension, so which E. Median
muscles help in wrist extension: 97. A worker was injured by metal panel
A. Extensor carpi radialis brevis which hit across the anterior surface of his
B. Extensor digitorum right arm at mid length and injured at this
C. Extensor indices level all the muscle and tissues. On
D. Extensor carpi radialis longus examination in the emergency room it is noted
E. Extensor digitorum mini that patient weakly flex his elbow and lateral
93. Patient went to the Neurosurgeon with side of his Forearm is numb. In addition to
complain of weakening of adduction of thumb, muscle which nerve is injured in this case:
spreading of fingers and to make fist also A. Axillary nerve
causing some problem, so which nerve is B. Median nerve
compromised? C. Musculocutaneous nerve
A. Deep branch of the radial nerve D. Radial nerve
B. Superficial branch of the radial nerve E. Ulnar nerve
C. Deep branch of the ulnar nerve 98. During fracture of lateral epicondyle of
D. Dorsal cutaneous branch of the ulnar nerve humerus that injured the proximal attachment
E. Superficial palmar cutaneous branch of the of supinator muscle. Which powerful
median nerve supinator still remains unaffected:
94. A 25-years old man crashed his car and A. Brachialis
hit the steering wheel and subsequently B. Brachioradialis
developed a large caliber chest drain a C. Biceps brachii
hemorrhage, while rehabilitating it was D. Supinator
noticed that his right scapula protruded from E. Flexor carpi ulnaris
MED DRIVE 41
ANATOMY
99. A 55-year old female is admitted to the
orthopedic clinic with symptoms of carpal
tunnel syndrome. Which muscle most
typically become weakened in this condition?
A. Dorsal interossei
B. Lumbricals III and IV
C. Thenar
D. Palmar interossei
E. Hypothenar
100. A patient comes with claw hand problem.
X-ray shows fracture of upper arm bone.
Which of the following bone is fractured in
this case:
A. Lateral epicondyle of humerus
B. Surgical neck of humerus.
C. Middle 1/3rd of clavicle
D. Shaft of humerus
E. Medial epicondyle of humerus
101. During a demonstration class of Anatomy,
teacher asked the students about the joint
which connects the upper limb with axial
skeleton. Which of the following is correct
answer:
A. Acromioclavicular
B. Shoulder joint
C. Manubrosternal joint
D. Sternoclavicular joint
E. First Costochondral joint
102. A 38-year old woman slips while sliding
on ice and her right elbow hits on the ground.
She experiences severe pain in upper limb.
Examination reveals that she cannot extend
her hand at wrist and diminished sensations of
lateral portions of dorsum of hand. Which of
the following is the most likely site of
fracture:
A. Medial epicondyle of humerus
B. Surgical neck of humerus
C. Lower end of radius
D. Spiral groove of the humerus
E. Scaphoid
103. During a biking accident, a rider fell and
landed with the handle bar of her bike forced
upward into her right axilla. Subsequently
while swimming she found that her right arm
tired so badly during the swimming. During
examination it was found that movements
MED DRIVE
1st YEAR MBBS
involving adduction, medial rotation and
extension of her arm were particularly weak
and affected her swimming. The nerve injured
was the:
A. Accessory
B. Dorsal scapular
C. Lateral pectoral
D. Medial pectoral
E. Thoracodorsal
104. A 15-year old boy is brought to the
emergency department because of injuries to
his head and right shoulder that he sustained
while riding his bicycle. The boy is holding
his right arm with the palm facing posteriorly.
He is unable to abduct the arm and there is
diminished sensation over the lateral aspect of
the arm. An injury of which of the following is
most likely responsible for this patient's
symptoms:
A. Axillary nerve
B. Lateral cord of brachial plexus
C. Musculocutaneous nerve
D. Suprascapular nerve
E. Upper trunk of the brachial plexus
105. A patient comes to the emergency
department after driving a knife into her palm
while trying to slice bread. On follow up
examination several weeks later the thenar
eminence is observed to be flattened. Which
of the following additional findings is most
likely to be seen in this patient:
A. Inability to spread the thumb away from
the fingers in same plane
B. Weakness in pronation
C. Weakness in adduction of thumb
D. Weakness in extension of thumb
E. Weakness of the first and second
lumbricals
106. After automobile accident examination
revealed that the medial border and inferior
angle of the left scapula became unusually
prominent when the arm was carried forward
in the sagittal plane, especially if the patient
pushed with outstretched arm against heavy
resistance e.g. a wall. What muscle must have
been denervated:
A. Deltoid
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ANATOMY 1st YEAR MBBS
B. Pectoralis major elbow". The focal point of pain would most
C. Pectoralis minor likely be near which palpable bony landmark:
D. Serratus anterior A. Coronoid process of ulna
E. Subclavius B. Lateral epicondyle of humerus
107. After a severe injury to the left anterior C. Lateral supracondylar ridge of humerus
shoulder region, a young field hockey player D. Medial epicondyle of humerus
was told by physician that she had a muscle E. Medial supracondylar ridge of humerus
tear that resulted directly the superolateral 112. The quadrangular space is bounded
distraction of a fractured coracoid process. medially by the:
Which muscle was torn: A. Long head of the triceps
A. Levator scapulae B. Surgical neck of the humerus
B. Pectoralis minor C. Subscapularis muscle
C. Rhomboideus major D. Capsule of the shoulder joint
D. Serratus anterior E. Teres major muscle
E. Subscapularis 113. The radial artery on entering the palms by
108. During the planning of therapeutic leaving the dorsum of the hand passes between
intervention for a 54-year old female patient two heads of the:
with cancer of the right breast. A 3rd year A. 2nd dorsal interosseous muscle
medical student would need to first consider B. 3rd dorsal interosseous muscle
where most of the cancer cells would C. 1st dorsal interosseous muscle
metastasize: D. 1st palmar interosseous muscle
A. Abdominal wall E. 2nd palmar interosseous muscle
B. Anterior mediastinum 114. An old man felt down the stairs and was
C. Axillary lymph nodes. brought in emergency department. His right
D. Opposite breast arm was by the side of trunk and right elbow
E. Parasternal lymph nodes supported by left hand. Movements of right
109. Pen test in the hand is performed to assess shoulder were painful with loss of normal
the neuromuscular status of which muscle: contour of shoulder. Most likely cause is:
A. Opponens pollicis A. Fracture of clavicle.
B. Flexor pollicis brevis B. Damage of rotator cuff of humerus
C. Abductor pollicis brevis C. Damage of axillary nerve
D. 1st palmar interossei D. Sub-coracoid dislocation of shoulder
E. 1st dorsal interossei E. Fracture of neck of humerus
110. A girl playing softball cuts the palm of her 115. A patient come in the emergency
hand as she scoops up a piece of glass along department after sustaining a laceration of the
with the ball. If the only nerve damaged is the first web space of his hand in a rock climbing
recurrent branch of the median nerve, she accident. Which of the following structure is
would lose what movement of the thumb: likely to be injured:
A. Abduction A. Superficial palmar arch
B. Adduction B. Radial artery
C. Flexion of the distal phalanx C. Opponeous pollicis
D. Opposition D. Radial nerve
E. Extension of distal phalanx E. Deep palmar arch
111. A worker doing repetitive lifting develops 116. In a female typist having pregnancy of 08-
an inflammation in the tendon of origin of the months with high blood pressure, there is
extensor muscles, commonly called "tennis wasting of thenar muscle. Which nerve is most
likely to be affected in this lady:
MED DRIVE 43
ANATOMY 1st YEAR MBBS
A. Suprascapular nerve right arm above 45 degrees. The scapula on
B. Ulnar nerve the same side is prominent. The most likely
C. Radial nerve injured nerve is the:
D. Musculocutaneous nerve A. Axillary
E. Median nerve B. Dorsal scapular
117. The annular ligament of the proximal C. Long thoracic
radioulnar joint forms a collar around the: D. Suprascapular
A. Radial notch of ulna E. Thoracodorsal
B. Head of the ulna 123. During the procedure of taking a blood
C. Head of the radius sample from the median cubital vein. Which
D. Ulnar notch of the radius one of the following nerve is most likely to be
E. Neck of the radius pierced:
118. Which of the following structure passes A. Medial cutaneous nerve of the arm
through carpal tunnel: B. Medial cutaneous nerve of the forearm
A. Radial artery C. Median nerve
B. Radial nerve D. Musculocutaneous nerve
C. Median nerve E. Radial nerve
D. Ulnar nerve 124. An 18-years old boy involved in an
E. Ulnar artery automobile accident present with arm that
119. The ulnar artery begins in the cubital fossa cannot abduct. His paralysis is caused by
at the level of the: damage to which of the following nerves:
A. Trochlear notch of ulna A. Suprascapular and axillary
B. Coronoid process of ulna B. Thoracodorsal and upper subscapular
C. Supinator cross of ulna C. Axillary and musculocutaneous
D. Neck of the radius D. Radial and lower subscapular
E. Head of the radius E. Suprascapular and dorsal scapular
120. Which of the following arteries 125. A baby born by forceps delivery with a
accompanies the axillary nerve through trauma on an arm cannot abduct the arm and
quadrangular space: supinate the forearm along with weakness of
A. Subscapular artery flexion of the elbow joint. Which of the
B. Anterior circumflex humeral artery following nerve is most likely damaged:
C. Posterior circumflex humeral artery A. The musculocutaneous nerve
D. Profunda brachi artery B. The median nerve
E. Supra scapular artery C. C5, C6 and C7
121. After an incised wound on the front of the D. The ulnar nerve
wrist, the patient is unable to perform E. The radial nerve
abduction and adduction of his fingers and 126. A 24-year old male slips on a banana peel
adduction of his thumb. Sensations of the skin and falls onto his outstretched hand. Which of
of the palm were intact. The most likely nerve the following structures transmits the force
injured is the: from the radius to the ulna:
A. Deep branch of the ulnar nerve A. Wrist joint
B. Dorsal branch of the ulnar nerve B. Elbow joint
C. Main trunk of the median nerve C. The interosseous membrane
D. Recurrent branch of the median nerve D. Ulnar collateral ligament
E. Superficial branch of the ulnar nerve E. Radial collateral ligament
122. After a right axilla stab wound, the patient 127. A 45-year old woman has a severe
felt difficulty in abduction and flexion of the asthmatic exacerbation and requires an arterial
MED DRIVE 44
ANATOMY
blood gas specimen for management. If you
are planning to draw the sample from the
brachial artery, where should you insert the
needle in the cubital fossa:
A. Superficial to the bicipital aponeurosis
B. Superficial to the median cubital vein
C. Medial to the tendon of the biceps
D. Lateral to the tendon of the biceps
E. Medial to the median nerve
128. A 39 years old mountaineer presents to the
emergency department after sustaining a
laceration of anatomical snuff box with
profuse bleeding in a rock climbing accident.
Which of the following structure is most likely
to be injured:
A. Superficial palmar arch
B. Opponens pollicis
C. Radial artery
D. Recurrent branch of median nerve.
E. Deep branch of radial nerve
129. A person receives a laceration along the
anterior border of the trapezius muscle in the
MED DRIVE
1st YEAR MBBS
neck and subsequently the point of his
shoulder (scapula) sags and he has some
difficulty in fully abducting his arm. Which
nerve appears to have been severed:
A. Accessory (Cranial Nerve XI)
B. Axillary
C. Greater occipital
D. Suprascapular
E. Median
130. A patient with Bennett's fracture (a
fracture of the base of the 1st metacarpal
bone) experiences an impaired thumb
movement. The most likely injured intrinsic
muscle of the thumb is:
A. Opponens pollicis
B. Adductor pollicis
C. Flexor pollicis brevis (deep head)
D. Adductor pollicis brevis
E. Flexor pollicis brevis (superficial head)
45
ANATOMY 1st YEAR MBBS

ANSWER KEY:
1 A 34 E 67 A 100 E
2 A 35 C 68 D 101 D
3 E 36 A 69 C 102 D
4 A 37 E 70 D 103 E
5 B 38 D 71 A 104 E
6 C 39 B 72 E 105 E
7 D 40 A 73 A 106 D
8 C 41 D 74 D 107 B
9 E 42 D 75 C 108 C
10 B 43 A 76 C 109 C
11 C 44 D 77 D 110 D
12 E 45 B 78 D 111 B
13 B 46 A 79 E 112 A
14 A 47 D 80 C 113 C
15 E 48 D 81 D 114 D
16 D 49 B 82 C 115 E
17 D 50 E 83 E 116 E
18 D 51 D 84 C 117 C
19 A 52 E 85 E 118 C
20 C 53 E 86 A 119 D
21 C 54 C 87 E 120 C
22 C 55 D 88 C 121 A
23 D 56 E 89 D 122 A
24 B 57 B 90 C 123 B
25 D 58 E 91 E 124 A
26 B 59 C 92 D 125 C
27 D 60 A 93 C 126 C
28 E 61 C 94 D 127 C
29 D 62 A 95 C 128 C
30 E 63 E 96 B 129 B
31 C 64 C 97 C 130 B
32 B 65 D 98 C
33 D 66 C 99 C

MED DRIVE 46
ANATOMY
GROSS; THORAX
1. 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?
A. Sino atrial node
B. Bundle of His
C. Vagal branches
D. Purkhinji fibers
E. A V node
2. A group of final year students during their
ward posting were asked to palpate apex beat
of 30-year-old male patient admitted at
cardiology ward. Apex beat is palpable at the
level of:
A. Left fourth intercostal space
B. Left fifth intercostal space
C. Sternal angle
D. Right fifth intercostal space
E. Xiphoid process of the sternum
3. After mediastenotomy of superior
mediastinum the patient noticed a changed in
his voice. What could be the possible cause of
this condition?
A. Injury to right recurrent laryngeal nerve
B. 2 Injury to trachea
C. Injury to left recurrent laryngeal nerve
D. Spasm of right main bronchus
E. Spasm of left main bronchus
4. During bypass surgery of heart, Surgeon while
suturing anterior interventricular artery
accidentally damages which of the following
adjacent vein:
A. Great cardiac vein
B. Coronary sinus
C. Small cardiac
D. Middle cardiac
E. Anterior cardiac vein
5. An 8-year-old boy is found to have a mid-line
tumor of the thymus gland compressing
posteriorly on a blood vessel. The affected
vessel is most likely the:
A. Left bronchial vein
B. Right superior intercostal
MED DRIVE
1st YEAR MBBS
C. Left pulmonary vein
D. Left brachiocephalic vein
E. Right pulmonary artery
6. A 75-year-old patient has been suffering from
lung cancer located near the cardiac notch, a
deep indentation on the lung. Which of the
following lobes is most likely to be excised?
A. Inferior lobe of the right lung
B. Middle lobe of the right lung
C. Superior lobe of the left lung
D. Superior lobe of the right lung
E. Inferior lobe of the left lung
7. A 50-years-old hypertensive male patient
visited his GP with complain of tiredness
palpitation and breathlessness. He was advised
for X-Ray chest along with other
Investigations to rule out cardiac Involvement.
The largest portion of the sternocostal surface
of the heart visualized on radiograph on
posterior-anterior view is made by?
A. Left atrium
B. Right atrium
C. Base of the heart
D. Right ventricle
E. Left ventricle
8. The Cardiothoracic Surgeon decided to do
CABG. The ideal route for him to open the
heart is through anterior wall of thoracic cage?
The anterior wall of the thoracic cage is
formed by the
A. Sternum and costal cartilages
B. Diaphragm
C. Ribs
D. Vertebral column
E. Intercostal spaces
9. A 25 years old man suffered from pneumonia
followed by pleural effusion. Resident doctor
was advised to remove the fluid from pleural
cavity. The ideal site for Insertion of a chest
tube is
A. 5th or 6th Intercostal space in mid
clavicular line
B. 8th or 9th Intercostal space in mid
clavicular line
47
ANATOMY 1st YEAR MBBS
th th
C. 8 or 9 Intercostal space in mid axillary B. First rib
line C. Xiphoid process
D. 4th or 5th intercostal space in mid axillary D. Sternal angle
line E. 7th cervical vertebrae
E. 5th or 6th Intercostal space in mid axillary 15. The aortic opening in diaphragm located at
line the level of the which of the following
10. A patient who has suffered severe chest thoracic vertebra:
trauma in an automobile accident is found to A. 10th
have fluid in the right pleural space. A B. 12th
thoracentesis reveals the presence of chylous C. 8th
fluid in the pleural space, suggesting a rupture D. 9th
of the thoracic duct. In which regions of the E. 7th
thorax is the thoracic duct found. 16. The intercostal nerves and vessels in the
A. Posterior and superior mediastinum costal groove are arranged from above
B. Anterior and superior mediastinum downwards as:
C. Anterior and middle mediastinum A. Nerve, artery and vein
D. Posterior mediastinum B. Vein, artery and nerve
E. Middle and superior mediastinum C. Artery and Nerve
11. Angiograph of cardiac patient shows D. Vein, Nerve and artery
blockage of which of the following artery that E. Artery, Nerve and vein
would lead to ischemia of the apex of the 17. Superior border of the heart is formed by
heart: A. Left ventricle & right article
A. Anterior Interventricular (descending) B. Right & Left atria
B. Posterior Interventricular (descending) C. Left ventricle & left aside
C. Right Coronary D. Right ventricle & left auricle
D. Left circumflex E. Right trunk & Right ventricle
E. Right Marginal 18. The mediastinal pleura is supplied by the:
12. In a section of lung tissue consisting A. Intercostal nerves
predominantly of alveoli and tubule of about 2 B. Sympathetic trunk
mm in diameter that contains smooth muscle C. Pulmonary plexus
and cartilage in its wall. The tubule is which D. Phrenic nerve
one of the following: E. Vagus nerve
A. Alveolar duct 19. Which of the following structures leaves
B. Alveolar sac an impression on the mediastinal surfaces of
C. Bronchiole both lungs?
D. Bronchus A. Oesophagus
E. Trachea B. Arch of azygous
13. Which of the following separates the C. Arch of aorta
parietal pleura from the thoracic wall? D. Inferior vena cava
A. Suprapleural membrane E. Superior vena cava
B. Anterior Intercostal membrane 20. After radiography of a patient, it is seen
C. Posterior Intercostal membrane that there is blockage of left coronary artery &
D. Endothoracic fascia patient is diagnosed to have ventricular
E. Adipose tissue fibrillation. Which of the following artery is
14. The trachea bifurcates into right and left supplying the major part of the interventricular
bronchi at the level of: septum?
A. Supra - sternal notch A. Circumflex artery
MED DRIVE 48
ANATOMY 1st YEAR MBBS
B. Marginal artery E. Right common carotid
C. Posterior descending 26. After mediastinoscopy a patient is
D. Anterior descending diagnosed having mass in the superior
E. Conus artery mediastinum affecting the structure which is
21. A patient visits a cardiologist for routine found only in superior mediastinum?
checkup. Doctor auscultate his heart sounds, A. Trachea
most important reason for diminished heart B. Vagus nerve
sounds is presence of excessive fluid in C. Thoracic duct
between which of the following layers? D. Descending aorta
A. Parietal pleura & pericardium E. Splanchnic nerve
B. Fibrous & parietal pericardium 27. A child brought in emergency department
C. Visceral & parietal pericardium has accidentally inhaled object, which will
D. Pericardium & posterior mediastinum most likely be located in the;
E. Pericardium & sterno-pericardial ligament A. Left main bronchus
22. A person feels pain in the chest & same B. Right main bronchus
time in shoulder. The referred pain in his C. Left lower segmental bronchiole
shoulder is due to the interference of which D. Right upper segmental bronchiole
nerve with autonomic innervation of the heart? E. Left inferior segmental bronchiole
A. Vagus 28. In a patient of 60 year old a tumor of
B. Phrenic posterior mediastinum which of the following
C. Intercostobrachial structure may be compressed
D. Anterior intercostal A. Ascending aorta
E. Recurrent laryngeal B. Trachea
23. Oesophagus passes through the esophageal C. Descending aorta
opening of diaphragm at the level of T-10. Its D. Arch of Azygous vein
some part lies in the abdomen. What other E. Arch of aorta
structure passes through diaphragm with 29. A 02 - years old boy was playing with his
Oesophagus? toy car, when his mother noticed that a small
A. Azygous vein metal nut was malasing from the car, two days
B. Right Vagus later the child developed cough and difficulty
C. Sympathetic trunk in breathing. On Bronchoscopy, it was found
D. Thoracic Duct that the nut has been aspirated by him. Which
E. Phrenic nerves is the common side of respiratory tract for
24. A doctor exploring the anterior foreign body impaction:
mediastinum for a tumor. Following are the A. Larynx
boundaries of anterior mediastinum except: B. Trachea
A. Mediastinal pleura C. Left lung
B. Sternum D. Right lung
C. Diaphragm E. Left superior lobar bronchus
D. Thoracic outlet 30. Which of the following structure passes
E. Upper thoracic vertebrae through the caval opening of the diaphragm :
25. Groove posterior to scalene tubercle on the A. Azygous vein
superior surface of the 1st rib lodges the B. Inferior vena cava
A. Subclavian artery C. Thoracic duct
B. Subclavian vein D. Aorta
C. Internal jugular vein E. Esophagus
D. Brachiocephalic trunk
MED DRIVE 49
ANATOMY 1st YEAR MBBS
31. During lymph node biopsy in the posterior D. Recurrent laryngeal nerve
mediastinum, the thoracic duct is accidently E. Phrenic and intercostal nerves
cut. The resulting accumulation of lymph in 37. Slit like spaces between the costal and
pleural cavity is referred to as : diaphragmatic parietal pleura are called:
A. Pleurisy A. Costomediastinal recesses
B. Chylothorax B. Pleural recesses
C. Pyothorax C. Pleural cavity
D. Hemothorax D. Costodiaphragmatic recesses
E. Lymphedema E. Pulmonary ligament
32. The structure related on the right side of 38. The air in pleural cavity when associated
the trachea is : with accumulation of serous fluid is known as:
A. Arch of aorta A. Pneumothorax
B. Esophagus B. Hydrothorax
C. Subclavian arteries C. Hemothorax
D. Thymus D. Hydro pneumothorax
E. Azygous vein E. Pyopneumothorax
33. A surgeon while during thoracic surgery 39. In the lung the sympathetic efferent fibers
accidentally cut 1st aortic Intercostal artery. produces:
Which of the following structure might be A. Vasodilatation
deprived of its main source of blood supply: B. Broncho-dilatation
A. First posterior Intercostal space C. Broncho-constriction
B. Right bronchus D. Broncho-dilatation and vasoconstriction
C. First anterior Intercostal space E. Produces more movement of lungs
D. Left bronchus 40. The azygous vein enters the posterior
E. Fibrous pericardium mediastinum:
34. In the emergency department resident A. Behind the medial arcuate ligament
doctor while inserting central venous line B. Behind the lateral arcuate ligament
palpated the Clavicle and structure below for C. Behind the median arcuate ligament
proper positioning. The 1st bony structure can D. Through the caval opening
be palpated below the inferior margin of the E. Through esophageal opening
medial portion of the Clavicle is: 41. Which of the following structure supplies
A. Manubrium pleura, pericardium and peritoneum:
B. Axilla A. Vagus nerve
C. 1st rib B. Sympathetic system
D. 2nd rib C. Parasympathetic system
E. Acromion D. Phrenic nerve
35. The right border of the heart is formed by: E. Greater splanchnic nerve
A. Right ventricle 42. The thoracic duct drains lymph from all of
B. Right atrium the following regions, except:
C. Right auricle A. Both lower limbs
D. Right atrium and right ventricle B. Pelvic cavity
E. Right auricle and right ventricle C. Right side of thorax
36. The nerve supply of parietal pleura comes D. Left side of head and neck
from: E. Left upper limb
A. Intercostal nerves. 43. The strongest ligament of sternoclavicular
B. Phrenic nerve joint is:
C. Vagus nerve A. Interclavicular ligament
MED DRIVE 50
ANATOMY
B. Capsular ligament
C. Costoclavicular ligament
D. Anterior sternoclavicular ligament
E. Fibrocartilagenous disc
44. The sternal angle is an important landmark
for:
A. Inferior border of heart
B. Larynx bifurcates at this level
C. Present at the 3rd costal cartilage
D. Arch of aorta begins and ends at this level
E. Junction of anterior and posterior
mediastina
45. Regarding internal thoracic artery:
A. Arise from 3rd part of subclavian artery
B. Give rise to one anterior intercostal artery
in each intercostal space
C. Terminates in 5th intercostal space
D. Ends by dividing into inferior epigastric
and mediastinal
E. Descends behind the costal cartilages
46. Which of the following is Not a posterior
mediastinal content:
A. Trachea
B. Esophagus
C. Azygous vein
D. Thoracic duct
E. Sympathetic trunk
47. Mitral valve guards the:
A. Right atrioventricular orifice
B. Left atrioventricular orifice
C. Aortic orifice
D. Pulmonary orifice
E. Caval orifice
48. All of the following drains into the
coronary sinus, except:
A. Great cardiac veins
B. Middle cardiac veins.
C. Oblique vein of left atrium
D. Anterior cardiac vein
E. Small cardiac vein
49. The azygous vein:
A. Receives right superior intercostal veins
B. Receives lower left intercostal veins
C. Originates in thorax
D. Drains into the right atrium directly
E. Lies on the left side of the aorta
MED DRIVE
1st YEAR MBBS
50. Regarding Broncho pulmonary segments
all are correct, except:
A. It is a subdivision of a lung lobe
B. It is surrounded by connective tissue
C. It is pyramidal in shape and its apex
towards the lung surface
D. It has a segmental bronchus
E. When diseased it can be removed
surgically as a structural unit
51. Regarding ribs:
A. 3rd rib is atypical
B. Posterior end of 1st rib is larger, thicker
and pitter
C. The typical rib is grooved superiorly by
the costal groove
D. 12th rib moves with respiration
E. Articulates with corresponding vertebrae
only
52. Which of the following is not content of
pericardium:
A. Ascending aorta
B. Superior vena cava
C. Inferior vena cava
D. Descending aorta
E. Pulmonary veins
53. The intercostal nerve and blood vessels
run:
A. Between external and internal intercostal
muscles
B. Between internal intercostal and inner
most intercostal muscles
C. Between external intercostal and inner
most intercostal muscles.
D. Between innermost intercostal and
endothoracic fascia
E. Between parietal pleura and endothoracic
fascia
54. A duty doctor while draining pleural
effusion inserted needle in 9th intercostal
space along mid axillary line. He entered in
which space:
A. Costo-mediastinal recess
B. Costo-diaphragmatic recess
C. Cardiac sinus
D. Oblique pericardial sinus
E. Cupola
51
ANATOMY 1st YEAR MBBS
55. A doctor while performing bronchoscopy, E. nd
2 costal cartilage
he passes the bronchoscope down the trachea, 61. Air in the pleural cavity is known as:
a cartilaginous structure is observed separating A. Pleural effusion
the trachea into right and left main bronchus is B. Hemopneumothorax
called as: C. Pyopneumothorax
A. Tracheal ring D. Hydropneumothorax
B. Cricoid cartilage E. Pneumothorax
C. Carina
D. Costal cartilage 62. A young anatomist while doing dissection
E. Copula is keenly interested in localizing neurovascular
56. A lady doctor placed stethoscope to listen bundle of thoracic wall, where he can exactly
heart sounds. She palpated bony land marks. find this structure?
She began at the jugular notch then slided her A. In the subcutaneous tissue of thoracic wall
fingers down to sternal angle. At what rib B. Between outer and middle muscular layer
(costal cartilage) level were her fingers: C. Between middle and inner most muscular
A. 5th layer
B. 1st D. Under the transversus thoracic muscle
C. 2nd E. Under Endothoracic fascia
D. 4th 63. A 12-years old boy with complain of
E. 3rd chest pain and dyspnea. On auscultation
57. Which of the following pairs of ribs are abnormal heart sound / murmur was found.
the false ribs? For auscultation of mitral valve where doctor
A. 11th and 12th should put a stethoscope:
B. Upper seven A. In left 2nd intercostal space
C. Lower five B. In left 3rd intercostal space
D. 8th to 10th C. In right 2nd intercostal space
E. 1st and 2nd D. Mid sternal region
58. Most of the posterior intercostal arteries E. In left fifth intercostal space
are branches from: 64. A 25-years old lady having history of
A. Superior intercostal artery chronic liver disease, complain of severe
B. Inferior intercostal artery bleeding from vomiting after taking food.
C. Descending thoracic aorta Which one of the following is the probable
D. Internal thoracic artery cause of bleeding:
E. Musculophrenic artery A. Rupture of esophageal veins in upper 1/3rd
59. Which of the following structure is not of esophagus
present in superior mediastinum: B. Rupture of esophageal veins in lower 1/3rd
A. Esophagus of esophagus.
B. Descending aorta C. Rupture of lower esophageal sphincter
C. Trachea D. Rupture of azygous vein draining
D. Sympathetic trunk esophagus
E. Thymus E. Rupture of esophageal veins in middle
60. The manubrum sterni articulates with all 65. A 50-years old patient brought to
of the following, except: emergency department with complain of chest
A. Body of sternum pain and headache. His CT scan shows tumor
B. Clavicle located just superior to the root of right lung.
C. Xiphoid process Which of the following vein most likely
D. 1st costal cartilage blocked by this tumor:
MED DRIVE 52
ANATOMY
A. Right subclavian vein
B. Right brachiocephalic vein
C. Arch of azygous vein
D. Accessory hemiazygos vein
E. Hemiazygos vein
66. A 30-years old patient brought to ER by
his relatives, with history of severe chest
injury during car accident. Chest X-ray
revealed pleural effusion. Thoracentesis was
performed that reveals the presence of chylous
fluid, suggesting a rupture of a thoracic duct.
Which of the following mediastina contain the
thoracic duct
A. Superior and anterior mediastinum
B. Superior and posterior mediastinum
C. Middle and superior mediastinum
D. Anterior and posterior mediastinum
E. Middle and anterior mediastinum
67. A damaged heart muscle resulting from
occlusion of the circumflex branch of the left
coronary artery would most likely be found in
the:
A. Apex
B. Right atrium and right ventricle
C. Left atrium and left ventricle
D. Right and left ventricle
E. Right ventricle and the interventricular
septum
68. A sick person lying supine in bed aspirates
(breathes in) some fluid into her lungs while
swallowing. It would most likely end up in
which of the following Broncho pulmonary
segments:
A. Anterior segmental bronchus of right
superior lobe
B. Medial segmental bronchus of right middle
lobe
C. Superior segmental bronchus of right
inferior lobe
D. Medial basal segmental bronchus of left
inferior lobe
E. Inferior segmental bronchus of lingular
lobe
69. While performing trans-esophageal
echocardiography on a patient, the posterior
wall of the esophagus immediately behind the
left atrium was punctured from within, doctors
MED DRIVE
1st YEAR MBBS
were also very concerned about possible
damage to a thin walled vessel just behind the
esophagus and between the azygous vein and
aorta. Which vessel is it?
A. Hemiazygos vein
B. Left bronchial vein
C. Left pulmonary vein
D. Superior vena cava
E. Thoracic duct
70. Most of the drainage of the thoracic body
wall reaches the superior vena cava via the
azygous vein. A notable exception is the left
superior intercostal vein which normally
drains into the:
A. Left brachiocephalic vein
B. Left bronchial vein
C. Left pulmonary vein
D. Left subclavian vein
E. Superior vena cava
71. Which of the following layer provides a
natural cleavage plane for surgical separation
of the costal pleura from thoracic wall?
A. Deep fascia
B. Endothoracic fascia
C. Parietal pleura
D. Visceral pleura
E. Transversus thoracic muscle fascia
72. A 68-year old male who has large
amounts of fluid in the left pleural cavity.
When you examine him in sitting position,
where would this fluid tend to accumulate:
A. Costo-diaphragmatic recess
B. Costo-mediastinal recess
C. Cupola
D. Hilar reflection.
E. Middle mediastinum
73. During a heart transplant procedure, the
surgeon inserted his left index finger through
the transverse pericardial sinus and then pulled
forward on the two large vessels lying ventral
to his finger. Which vessels were these:
A. Pulmonary trunk and tracheocephalic
B. Pulmonary trunk and aorta trunk
C. Pulmonary trunk and superior vena cava
D. Superior vena cava and right pulmonary
Artery
E. Superior vena cava and aorta
53
ANATOMY 1st YEAR MBBS
74. A patient involved in an automobile B. Tubercle
accident presents with a sharp object puncture C. Angle
of the middle of the sternum at about the level D. Shaft
of the 4th or 5th costal cartilage. If the object E. Head
also penetrated pericardium and heart wall, 76. The ductus arteriosus sometimes remains
which structure would most likely be open after birth requiring surgical closure.
damaged: When placing a clamp on the ductus, care
A. Left atrium must be taken to avoid injury to what
B. Left ventricle important structure?
C. Right atrium A. Accessory hemiazygos vein
D. Right ventricle B. Left internal thoracic artery
E. Superior vena cava C. Left phrenic nerve
75. Which part of rib is most likely to be D. Left recurrent laryngeal nerve
fracture / affected: E. Thoracic duct
A. Neck

ANSWER KEY:

Q. NO OPTION Q. O OPTION Q. NO OPTION Q. NO OPTION

1 E 20 D 39 D 58 C
2 B 21 C 40 A 59 B
3 C 22 C 41 D 60 C
4 A 23 B 42 C 61 E
5 D 24 E 43 C 62 C
6 C 25 A 44 D 63 E
7 D 26 A 45 E 64 B
8 A 27 B 46 A 65 C
9 D 28 C 47 B 66 B
10 D 29 D 48 D 67 C
11 A 30 B 49 A 68 C
12 E 31 B 50 C 69 E
13 D 32 E 51 B 70 A
14 D 33 A 52 D 71 B
15 B 34 A 53 B 72 A
16 B 35 B 54 B 73 B
17 B 36 E 55 C 74 B
18 D 37 D 56 C 75 A
19 A 38 D 57 D 76 D

MED DRIVE 54