Block 1
Block 1
Part A: Anatomy
1. Mrs. Smith has severe itching after poison ivy on her uniting structure in a type of fibrous joint classified
shoulder. She reaches her right hand over to her left as a:
shoulder to "scratch that itch." Which movement is a. Suture b. Symphysis
occurring when she moved his arm above the c. Synchondrosis d. Syndesmosis
shoulder? e. Gomphoses
a. Circumduction b. Extension 9. A 40years young man came to emergency
c. Flexion d. Supination department after road traffic accident with fracture
e. Pronation of lower end of humerus. Which type of cartilage is
2. Tom has just received his new wheel chair. As he present at the end of long bones?
prepares to get into his chair safely, he straightens a. Calcified cartilage b. Fibrous cartilage
and braces his left arm on the left armrest of the c. Elastic cartilage d. Hyaline cartilage
chair. He bends forward to flip up the footplate of the e. Both hyaline and elastic cartilage
chair. Which movements have occurred at his 10. During a small group discussion you are asked
ELBOW and HIP joints? about functions of vitamin D. One of your friend
a. Flexion of the elbow, extension of the hip mentioned that it is synthesized in skin. Which of the
b. Abduction of the elbow, flexion of the hip following cells are responsible for its formation
c. Extension of the elbow, flexion of the hip when exposed to sunlight?
d. Abduction of the elbow, adduction of hip a. Fibroblasts in dermis
e. Flexion of the elbow, flexion of hip. b. Keratinocytes in stratum basale and spinosum
3. A 50 years old man went to MRI of his abdomen. The c. Keratinocytes in stratum granulosum
longitudinal sections were taken which divide the d. Melanocytes in epidermis
body into anterior and posterior portion. Which body e. Merkel cells in epidermis
plane result in this type of longitudinal images? 11. A 15- year- old girl presented with acne in the OPD.
a. Frontal b. Midsagittal Acne is chronic inflammation of which of the
c. Coronal d. Median following structural component of skin.
e. Transverse a. Hair follicles
4. A little girl while alone and hungry found some b. Capillary loops
snacks in her mother’s cupboard. What is the c. Sebaceous glands
movement of her ankles if she stands on her tip toes d. Stratum basale of epidermis
to get her hands on the favorite food in the e. Arrector pili muscle
cupboard? 12. A section of thick skin is examined under
a. Anterior rotation b. Dorsiflexion microscope. Multiple cell layers are seen at high
c. Extension d. Planter flexion magnification. Name that layer that rests on the
e. Planter extension basement membrane?
5. A Surgeon found a cervical rib on the X-ray of the a. stratum spinosum
patient. Considering the classification of bones, the b. stratum granulosum
cervical rib is categorized in which of the following c. stratum lucidum
types? d. stratum basale
a. Supernumerary bone b. Pneumatic bone e. stratun corneum
c. Sesamoid bone d. Heterotropic bone 13. A 50-year-old lady complains of red colored lesion
e. Irregular bone on the arm. Biopsy of skin reveals numerous
6. A teacher was delivering a lecture about general vascular channels with erythrocytes. The endothelial
anatomy of muscle. She inquired about the name of cells of vessels exhibit which of the following
muscle which is non-striated non-branching and has epithelial tissue morphology
a single nucleus. The name of muscle is: a. Pseudostratified
a. Skeletal muscle b. Smooth muscle b. Simple columnar
c. Cardiac muscle d. Intrafusal muscle c. Simple cuboidal
e. Extrafusal muscle d. Simple squamous
7. A medical student is asked to perform flexion of e. Stratified columnar
knee joint. During his flexion of the knee joint,
quadriceps muscles acts as: 14. Your instructor reminds you that within cells
a. Antagonist b. Fixator membrane channels permit ions and signal
c. Agonist d. Prime mover molecules to pass between adjacent cells. Which of
e. Synergist the following channels are present in intercellular
8. During a fall on outstretched hand, force is gap junctions?
transmitted from radius to ulna. The interosseous a. Cadherins b. Connexins
membrane between the radius and ulna is the c. Netrins d. Perforins
e. Porins
15. Histological section of skin from lateral aspect of 23. Myocardium of a woman who dies of a cardiac arrest
thigh of right leg is observed under microscope. is examined under microscope in pathology
Which of the following epithelium describes the department. What histological character
epidermis? distinguishes cardiac muscle from skeletal muscle?
a. Keratinized stratified epithelium a. Connective tissue contain rich capillary network
b. Non keratinized stratified epithelium b. Muscle fibers are made of multiple nucleated
c. Pseudostratified epithelium cells
d. Stratified cuboidal c. Muscle fibers exhibit cross striation
e. Transitional epithelium d. Sarcomere is between adjacent Z lines
16. A biopsy of lymph nodes is examined under e. Only actin filament are present.
microscope. In this silver stained section, irregular 24. A patient with a deep knife wound in the buttock
black lines are seen, they represent which of the walks with a waddling gait, in which the pelvis falls
following connective tissue component. toward one side at each step. Which of the following
a. Glycoproteins b. Proteoglycans nerve is damage?
c. Reticular fibers d. Elastic fibers a. Obturator nerve
e. Collagen fibers b. Nerve to obturator internus
17. A section of left Sartorius tendon is examined on c. Superior gluteal nerve
autopsy. This collagen rich connective tissue is d. Inferior gluteal nerve
important in transmission of force from muscle to e. Femoral nerve
bone. Which of the following best describes the type 25. A 67-year-old patient was given a course of
of connective tissue? antibiotics by gluteal intramuscular injections after a
a. Dense irregular connective tissue major abdominal surgery. To avoid damaging the
b. Loose areolar connective tissue sciatic nerve during an injection, in which of the
c. Elastic connective tissue following areas needle be inserted?
d. Adipose connective tissue a. Over the sacrospinous ligament
e. Dense regular connective tissue b. Midway between the ischial tuberosity and the
18. On examining via tongue depressor epiglottis is lesser trochanter
seen by the physician. Epiglottis of the larynx is c. Midpoint of the gemelli muscles
which type of the connective tissue d. Upper lateral quadrant of the gluteal region
a. Dense irregular connective tissue e. Lower medial quadrant of the gluteal region
b. Hyaline cartilage 26. A 62-year-old woman slips and falls on the bathroom
c. Fibrocartilage floor. As a result, she has a posterior dislocation of
d. Elastic cartilage the hip joint and a fracture of the neck of the femur
e. Adipose tissue that results in avascular necrosis of the femoral
19. In a surgical section of a cartilage, flattened nuclei of head, probably resulting from lack of blood supply
cells are seen in the outer layer of perichondrium. from which of the following arteries?
These nuclei represent which type of connective a. Obturator
tissue cell b. Superior gluteal
a. Chondroblast b. Chondrocytes c. Inferior gluteal
c. Endothelial cells d. Fibroblasts d. Medial femoral circumflex
e. Myofibroblast e. Lateral femoral circumflex
20. Which of the following cells initiate mineralization of 27. During a road traffic accident if the acetabulum is
bone matrix during growth and bone remodeling fracture at its posterosuperior margin by, dislocation
throughout life? of the hip joint, which of the following bones could
a. Fibroblasts b. Osteoprogenitor cells be involved.
c. Osteoclasts d. Osteocytes a. Pubis b. Ischium
e. Osteoblasts c. Ilium d. Sacrum
21. A section of spongy bone is examined under e. Head of the femur
microscope, which feature best describes the 28. A 45-year old woman after an accident experiences
surface that lines the bony spicules and internal weakness when abducting and medially rotating the
surface of compact bone. thigh. Which of the following muscles is most likely
a. Articular cartilage damaged?
b. Periosteum a. Piriformis
c. Endosteum b. Obturator internus
d. Perichondrium c. Quadratus femoris
e. Sharpys fibers d. Gluteus maximus
e. Gluteus minimus
22. A 30 year old man begins a vigorous program of 29. A demonstrator was teaching a batch of first year
bodybuilding. After 6 months his muscles are about gluteal region during which she asked them
prominent and strong. What microscopic change about the insertion of gluteus maximus. Which of
underlies muscle enlargement, the following option gives insertion of gluteus
a. Deposition of newly formed adipocytes maximus?
b. Increase in diameter of individual muscle fibers a. Greater trochanter
c. Increase in number of muscle fibers b. Lesser trochanter
d. Thickening of endomysium c. Linea aspra
e. Thickening of perimysium d. Symphysis pubis
e. Intertrochanteric crest d. Vastus intermedius
30. A professor was teaching the students about the e. Tensor fasciae lata
deep group of muscles of gluteal region. Regarding 38. The woman undergoes hip surgery. If all of the
the deep group, which of the following muscle lies arteries that are part of the cruciate anastomosis of
between the gamelli? the upper thigh ligated, which of the following
a. Obturator externus arteries maintains blood flow?
b. Piriformis a. Medial femoral circumflex
c. Gluteus medius b. Lateral femoral circumflex
d. Obturator internus c. Superior gluteal
e. Quadratus femoris d. Inferior gluteal
31. A group of students were discussing about the hip e. First perforating
joint on a model of hipbone. Which part of hipbone 39. A 25-year-old gladiator sustains a penetrating injury
articulates with femur to form hip joint? that damages the superficial peroneal nerve. This
a. Acetabulum b. Ileum will most likely cause paralysis of which of the
c. Ischium d. Pubis following muscle.
e. Symphysis pubis a. Peroneus tertius
32. A demonstrator was teaching gluteal region while he b. Peroneus brevis
asked his students that which could be the c. Flexor hallucis longus
commonest site for intramuscular injection in gluteal d. Tibialis anterior
region to avoid injury to underlying neuromuscular e. Tibialis posterior
bundle. 40. During a knee surgery, a surgeon ligates arteries
a. Superior lateral quadrant participating in the anastomosis around the knee
b. Inferior lateral quadrant joint. Which of the following arteries is most likely
c. Inferior medial quadrant spared?
d. Superior medial quadrant a. Lateral superior genicular
e. Superior and inferior quadrant b. Medial inferior genicular
33. An elderly woman fell at home and fractured the c. Descending branch of the lateral femoral
greater trochanter of her femur. Which of the circumflex
following muscles would continue to function d. Descending genicular branch
normally? e. Anterior tibial recurrent
a. Piriformis 41. An injury to the leg of a golfer results in loss of the
b. Gluteus medius ability to invert the foot. Which of the following
c. Gluteus maximus muscles is most likely paralyzed?
d. Gluteus minimus a. Tibialis posterior
e. Obturator internus b. Peroneus longus
34. A 50-year-old woman came to the OPD and c. Peroneus brevis
complaint about difficulty in climbing up the stairs. d. Peroneus tertius
Which of the following muscle is damage? e. Extensor digitorum longus
a. Gluteus maximus 42. A student was searching about the terminology
b. Piriformis secondary heart. Which of the following muscle in
c. Obturator internus the leg is also known as secondary heart?
d. Gluteus medius a. Soleus
e. Gluteus minimus b. Tibialis posterior
35. A 22-year-old patient is unable to “unlock” the knee c. Popliteus
joint to permit flexion of the leg. Which of the d. Gastrocnemius
following muscles is most likely damaged? e. Tibialis posterior
a. Quadriceps femoris 43. A small muscle with a long tendon that weakly
b. Gracilis assists gastrocnemius in plantar flexing ankle and
c. Semimembranosus may be absent in 10% of people is:
d. Popliteus a. Soleus
e. Tensor fascia lata b. Popliteus
36. A 52-year-old woman fell and now complains of c. Plantaris
being unable to extend her leg at the knee joint. d. Tibialis posterior
Which of the following muscles in this accident e. Gastrocnemius
parlayed?
a. Quadriceps femoris
b. Gracilis 44. A construction worker falls feet first from a roof. He
c. Semimembranosus sustains a fracture of the groove on the
d. Popliteus undersurface of the sustentacular tali of the
e. Tensor fascia lata calcaneus bone. Which of the following muscle
37. A 20-year-old patient cannot flex and medially rotate tendons is most likely torn?
the thigh while running and climbing. Which of the a. Flexor digitorum brevis
following muscles is most likely damaged? b. Flexor digitorum longus
a. Semimembranosus c. Flexor hallucis brevis
b. Sartorius d. Flexor hallucis longus
c. Rectus femoris e. Tibialis posterior
45. A 23-year-old female fell from the roof. The medial 52. The granular cells of a developing follicle forms, one
longitudinal arch of her foot flattened from fracture of the following:
and displacement of the keystone for the arch. a. Polar body.
Which of the following bones is damage? b. Mature oocyte.
a. Calcaneus b. Cuboid bone c. Corona radiata.
c. Head of the talus d. Medial cuneiform d. Bar body
e. Navicular e. Acrosome.
46. A young boy has difficulty in dorsiflexing the foot. 53. In germ cell division, Meiosis 2 is considered as
Which of the following muscles is most likely equational division comparable to Mitosis. Which of
damaged? the following arrangement of chromosomes is
a. Tibialis posterior responsible for this feature?
b. Flexor digitorum longus a. Alignment in metaphase
c. Tibialis anterior b. Crossing over in prophase.
d. Peroneus longus c. Duplication in prometapahase.
e. Peroneus brevis d. Pulling apart in Anaphase.
47. A patient experiences paralysis of the muscle that e. Splitting in Anaphase.
originates from the femur and contributes directly to 54. Which one of the following phases of Meiosis in
the stability of the knee joint. Which of the following germ cells undergoes prolonged dormancy, before
muscles is involved? entering into cell division?
a. Vastus lateralis a. Anaphase I
b. Semimembranosus b. Anaphase II
c. Sartorius c. Metaphase I
d. Biceps femoris (long head) d. Prophase I
e. Rectus femoris e. Prophase II
48. A teacher while teaching about the gluteal region, 55. Soon, after fertilization, the endometrium is being
asked the students that which anatomical landmark eroded by the conceptus, for implantation. Which of
marks the transition from the femoral vein to the the following plays the most active role?
external iliac vein? a. Epiblast
a. Femoral triangle b. Extraembryonic somatic mesoderm
b. Anterior superior iliac spine c. Extraembryonic visceral mesoderm
c. Adductor hiatus d. Hypoblast
d. Inguinal ligament e. Syncytiotrophoblast
e. Adductor canal 56. A 35 years old female experienced polyspermy at
49. A basketball player was hit in the thigh by an the time of fertilization. Which one of the following
opponent’s knee. Which of the following arteries is reactions was compromised for this abnormality?
likely to compress and cause ischemia because of a. Acrosome reaction
the bruise and damage to the extensor muscles of b. Capacitation
the leg? c. Decidual reaction
a. Popliteal d. Gastrulation
b. Deep femoral e. Zona reaction
c. Anterior tibial 57. On ultrasound examination of a 38 years old
d. Posterior tibial primigravida (1st pregnancy), in the 8th week of
e. Peroneal gestation (conception), unusual placenta was
50. A 10-year-old boy falls from a swing and complains observed. A provisional diagnosis of molar
of pain in the area around the knee joint and ankle pregnancy was made, which is a complication of
joint. On physical examination, her physician found pregnancy characterized by the abnormal growth of
that the muscle responsible for flexing the leg at the one of the following cells:
knee joint and plantar flexing the foot is severely a. Aminioblasts
weakened. Which of the following muscles involved b. Embryoblasts
in both movements was most likely damage? c. Epiblast
a. Tibialis posterior d. Hypoblast
b. Gastrocnemius e. Trophoblasts
c. Soleus
d. Peroneus longus
e. Flexor digitorum longus
51. A group of medical students observed pairing of 58. The pluripotent Stem Cells extracted from
homologous chromosomes in an Anatomy Atlas. developing conceptus have variety of clinical
They agreed the cell to be in Meiosis and that applications. Which of the following can source
segments of DNA were to be exchanged. The group these highly specialized stem cells?
leader named the process involved, as? a. Cytotrophoblast
a. Alignment b. Decidual Cells
b. Crossing over c. Endometrial cells
c. Disjunction d. Inner cells mass
d. Nondisjunction e. Outer cells mass
e. Synapsis
59. Third week is characterized by the formation of 3 c. Stratum granulosum
germ layers. Appearance of which of the following d. Stratum lucidum
features begets the process: e. Stratum spinosum
a. Allantois 67. A full term male newborn with absence of 5th–8th
b. Buccal membrane ribs on the left side presented with transient
c. Cloacal membrane tachypnea. Diagnosis was done by clinical
d. Notochord examination and confirmed on CT scanning. Which
e. Primitive streak other structure of thoracic vertebrae should be
60. Notochord, forms the embryonal axis, forming the suspected to be abnormal in this case?
right & left halves of the conceptus. Which of the a. Arch
following is the adult derivative is contributed by b. Body
this rod shaped structure? c. Costal process
a. Intervertebral disc d. Lamina
b. Ribs e. Spinous process
c. Spinal cord 68. A newborn baby was delivered with a congenital
d. Sternum deformity diagnosed as Ectopia Cordis. Failure of
e. Vertebral column normal development of which of the following
61. The Mesoderm germ layer is the source of many anatomical structures can lead to this congenital
tissues and organs. The extraembryonic mesoderm anomaly?
forms one of the following structures: a. Clavicle
a. Amnion b. Ribs
b. Chorion c. Sternum
c. Lateral plate d. Vertebral arches
d. Notochord e. Vertebral bodies
e. Somites 69. Soon, after fertilization, the endometrium is being
62. A developing conceptus, passes through many eroded by the conceptus, for implantation. Which of
morphological changes during its developmental the following plays the most active role?
period; morula, blastula, gastrula, a disc & folded a. Epiblast
embryo. The human like features are acquired by: b. Extraembryonic somatic mesoderm
a. 2nd week c. Extraembryonic visceral mesoderm
b. 3rd week d. Hypoblast
c. 8th week e. Syncytiotrophoblast
d. 12th week 70. Number of chromosomes and amount of DNA in a
e. 20th week. gamete is represented by:
63. A home delivered new born baby is brought to a. 23 Chromosomes 1N.
pediatric OPD, with a cystic swelling at the back of b. 23 Chromosomes 2N.
the neck, about the size of a melon. MRI reveals, c. 46 Chromosomes 4N.
meninges and spinal cord protruding through d. 46 Chromosomes, 2N.
cervical vertebral defect and forming a fluid sac. e. 46 Chromosomes, IN.
Which one of the following best describes this 71. Two weeks after a missed menstrual period, a 23
condition? years old married girl performs a urine strip
a. Anencephaly pregnancy test at home. Presence of which hormone
b. Arnold cherry syndrome in maternal urine would confirm pregnancy?
c. Cranioschisis a. Estrogen.
d. Holoprosencephaly b. Follicle stimulating hormone.
e. Spina bifida c. Human chorionic gonadotrophin.
64. Spina bifida is a condition that is related to mal d. Luteinizing hormone.
union of vertebral arches. Faulty differentiation of e. Progesterone.
which of the following elements can lead to this 72. Spermiogenesis means, transformation of:
condition? a. Primary spermatocyte to secondary.
a. Dermatome b. Secondary spermtocyte to spermatid.
b. Epimere c. Secondary spermatocyte to sperm.
c. Hypomere d. Spermatid to spermatozoa.
d. Mypomere e. Spermatogonia to primary spermatocyte.
e. Scelrotome