Where is the auditory cortex primarily located in the brain?
What is the average axial length of the human eyeball?
Which of the following is not an extrinsic laryngeal membrane?
Which is the narrowest portion of the esophagus?
The main muscle affected in congenital muscular torticollis is?
What is the significance of the term 'Corona mortis' in human anatomy?
Which area in the spleen is considered *primarily* thymus-dependent?
Ceruminous glands present in the ear are:
When does the rudimentary cochlea develop in the fetus?
External auditory canal is formed by:
NEET-PG 2015 - Anatomy NEET-PG Practice Questions and MCQs
Question 131: Where is the auditory cortex primarily located in the brain?
- A. Superior temporal gyrus (Correct Answer)
- B. Inferior temporal gyrus
- C. Area 3,1,2
- D. Cingulate gyrus
Explanation: ***Superior temporal gyrus*** - The **primary auditory cortex** (Brodmann areas 41 and 42) is located in the **superior temporal gyrus**, primarily within the **transverse temporal gyri of Heschl**. [1] - This region is responsible for processing **auditory information**, including pitch, loudness, and sound localization. [1] *Inferior temporal gyrus* - The **inferior temporal gyrus** is a part of the temporal lobe involved in higher-level **visual processing** and object recognition. - It plays a role in the "what" pathway of vision and **memory formation**, not primary auditory processing. *Area 3,1,2* - **Brodmann areas 3, 1, and 2** collectively form the **primary somatosensory cortex**. [2] - This area is located in the **postcentral gyrus** of the parietal lobe and is responsible for processing touch, pain, temperature, and proprioception. [2] *Cingulate gyrus* - The **cingulate gyrus** is a component of the **limbic system**, involved in emotion formation, learning, memory, and executive function. - It plays a role in processing emotional aspects of pain and fear, but not primary auditory perception.
Question 132: What is the average axial length of the human eyeball?
- A. 16 mm
- B. 20 mm
- C. 24 mm (Correct Answer)
- D. 28 mm
Explanation: ***24 mm*** - The **average axial length** of the human eyeball is approximately **24 mm**. - This length is crucial for **emmetropia**, where parallel light rays focus precisely on the retina. *16 mm* - An axial length of **16 mm** would indicate extreme **hyperopia** (farsightedness), as the eyeball would be significantly too short [1]. - This would result in light focusing behind the retina, leading to blurry vision. *20 mm* - An axial length of **20 mm** is still considerably shorter than average, suggesting **significant hyperopia**. - This deviation from the norm would impair visual acuity without corrective lenses. *28 mm* - An axial length of **28 mm** would classify the eye as significantly **myopic** (nearsighted), as the eyeball would be too long [1]. - In this case, light would focus in front of the retina, causing distant objects to appear blurry [1].
Question 133: Which of the following is not an extrinsic laryngeal membrane?
- A. Quadrangular membrane (Correct Answer)
- B. Hyoepiglottic ligament
- C. Cricotracheal membrane
- D. Thyrohyoid membrane
Explanation: **Quadrangular membrane** - The quadrangular membrane is an **intrinsic laryngeal membrane**, originating and inserting within the larynx itself, forming the false vocal cords and epiglottic folds. - It does not connect the larynx to external structures like the hyoid bone or trachea. *Hyoepiglottic ligament* - This is an **extrinsic laryngeal ligament** that connects the anterior surface of the epiglottis to the body of the hyoid bone. - It helps anchor the epiglottis to a structure outside the larynx. *Cricotracheal membrane* - The cricotracheal membrane is an **extrinsic laryngeal membrane** connecting the inferior border of the cricoid cartilage of the larynx to the first tracheal ring. - It forms the connection between the larynx and the trachea, an external structure. *Thyrohyoid membrane* - This is an **extrinsic laryngeal membrane** that connects the superior border of the thyroid cartilage of the larynx to the first tracheal ring. - It provides a broad connection between the larynx and the hyoid bone, an external laryngeal structure.
Question 134: Which is the narrowest portion of the esophagus?
- A. At the diaphragmatic aperture
- B. At the cricopharyngeal sphincter (Correct Answer)
- C. At the crossing of the left main bronchus
- D. At the level of the aortic arch
Explanation: ***At the cricopharyngeal sphincter*** - This is the **upper esophageal sphincter (UES)**, representing the **narrowest point of the entire esophagus** with a diameter of approximately **14 mm**. - It is formed by the **cricopharyngeus muscle**, which remains tonically contracted at rest to prevent air entry into the esophagus during respiration. - Located approximately **15 cm from the incisor teeth** at the level of the **C6 vertebra**. - **Clinical significance**: This is the most common site for impaction of foreign bodies and is a critical point during endoscopy. *At the crossing of the left main bronchus* - This represents the **middle constriction** where the esophagus is indented by the **left main bronchus** (approximately 22-23 cm from incisors). - This is a point of **extrinsic compression** rather than an intrinsic anatomical narrowing. - Diameter here is approximately **15.5 mm**, making it wider than the upper esophageal sphincter. - Foreign bodies and food boluses may lodge here, but it is not the narrowest point. *At the level of the aortic arch* - The **aortic arch** causes significant indentation and extrinsic compression, adjacent to the bronchial constriction. - This is also part of the **middle constriction** of the esophagus. - Despite this indentation, the lumen diameter is still greater than at the cricopharyngeal sphincter. *At the diaphragmatic aperture* - The esophagus passes through the **esophageal hiatus** at the level of **T10 vertebra** (approximately 40 cm from incisors). - This represents the **lower constriction** with a diameter of approximately **16-19 mm**. - While clinically important for hiatal hernias and lower esophageal sphincter pathology, it is the **widest of the three anatomical constrictions**.
Question 135: The main muscle affected in congenital muscular torticollis is?
- A. Sternocleidomastoid (Correct Answer)
- B. Trapezius
- C. Scalenus Anticus
- D. Omohyoid
Explanation: ***Sternocleidomastoid*** - Congenital muscular torticollis (CMT) is primarily caused by **unilateral fibrosis and shortening of the sternocleidomastoid muscle (SCM)**. - This leads to the characteristic **head tilt towards the affected side** and **chin rotation to the opposite side**. *Trapezius* - The trapezius muscle is primarily involved in **shrugging the shoulders**, extending and rotating the head and neck, but is not the main muscle affected in CMT. - While it can become secondarily tight in response to persistent head positioning, it is **not the primary pathological muscle** in CMT. *Scalenus Anticus* - The scalenus anticus (anterior scalene muscle) is involved in **neck flexion and elevation of the first rib** during forced inspiration. - It plays a role in various neck pain syndromes and brachial plexus compression, but it is **not the defining muscle in congenital muscular torticollis**. *Omohyoid* - The omohyoid is a **strap muscle of the neck** that depresses the hyoid bone. - It has no primary involvement in the **pathophysiology or clinical presentation of congenital muscular torticollis**.
Question 136: What is the significance of the term 'Corona mortis' in human anatomy?
- A. Anastomosis between superior and inferior gluteal arteries
- B. A ligament connecting the pubic symphysis
- C. A nerve crossing the pelvic brim
- D. Anastomosis between obturator and inferior epigastric vessels (Correct Answer)
Explanation: ***Anastomosis between obturator and inferior epigastric vessels*** - **Corona mortis**, meaning "crown of death" in Latin, refers to a clinically significant vascular anastomosis that passes over the superior pubic ramus. - This anastomosis usually occurs between the **obturator artery** (a branch of the internal iliac artery) and the **inferior epigastric artery** (a branch of the external iliac artery), posing a risk of severe hemorrhage during surgical procedures in the retropubic space [1]. *Anastomosis between superior and inferior gluteal arteries* - While gluteal arteries do anastomose, they form a crucial part of the **cruciate anastomosis of the thigh**, not the corona mortis. - This anastomosis is important for blood supply to the hip joint and thigh musculature, far removed from the retropubic space. *A ligament connecting the pubic symphysis* - The pubic symphysis is connected by ligaments such as the **superior and arcuate pubic ligaments**, which provide stability to the joint. - These are fibrous structures and do not represent a vascular anastomosis. *A nerve crossing the pelvic brim* - Several nerves cross the pelvic brim, such as the **obturator nerve** or the **femoral nerve**, but these are neural structures. - The term corona mortis specifically refers to a **vascular connection**, not a nerve.
Question 137: Which area in the spleen is considered *primarily* thymus-dependent?
- A. Mantle layer
- B. Malpighian corpuscle
- C. Periarteriolar lymphoid sheath (PALS) (Correct Answer)
- D. None of the options
Explanation: ***Periarteriolar lymphoid sheath (PALS)*** - PALS is the **T-cell zone** of splenic white pulp, containing predominantly **T-lymphocytes** arranged around central arterioles. [2] - This area is **thymus-dependent** as it houses mature T cells that have undergone thymic selection and education, making it the primary thymus-dependent area of the spleen. [1] *Mantle layer* - The mantle layer consists of **naïve B lymphocytes** that surround the germinal center within splenic follicles. - This area is **thymus-independent** and primarily involved in **B-cell responses** to antigens. *Malpighian corpuscle* - Also known as **splenic follicles** or white pulp, this area primarily functions as **B-cell aggregation zones**. - While containing both B and T cell areas, it's predominantly **thymus-independent** with its main role being B-cell activation and antibody production. *None of the options* - This option is incorrect because PALS clearly represents the primary **thymus-dependent area** in the spleen. - The spleen definitively contains thymus-dependent zones where **T-cell activation** and proliferation occur, specifically the PALS. [1]
Question 138: Ceruminous glands present in the ear are:
- A. Modified eccrine glands
- B. Modified apocrine glands (Correct Answer)
- C. Mucous gland
- D. Modified holocrine glands
Explanation: ***Modified apocrine glands*** - **Ceruminous glands** in the ear canal are specialized **apocrine glands** responsible for producing cerumen (earwax). - Like other apocrine glands, they secrete their product via **apical budding** of the cell, releasing fragments of the cell along with the secretion [1]. *Modified eccrine glands* - **Eccrine sweat glands** are distributed throughout the skin and produce a watery sweat for thermoregulation [1]. - They secrete their product directly onto the skin surface via **exocytosis**, without loss of cellular material. *Mucous gland* - **Mucous glands** (e.g., salivary glands, respiratory tract glands) produce **mucus**, a viscous secretion primarily for lubrication and protection. - Their secretions are rich in **mucin glycoproteins**, which is distinct from the lipid-rich cerumen. *Modified holocrine glands* - **Holocrine glands** (e.g., sebaceous glands) release their entire cell contents, including lipids and cellular debris, upon cell lysis. - While sebaceous glands contribute to earwax, ceruminous glands themselves operate via an **apocrine mechanism**, not holocrine [1].
Question 139: When does the rudimentary cochlea develop in the fetus?
- A. First week
- B. 4th to 8th week (Correct Answer)
- C. 8th to 12th week
- D. 16 to 20th week
Explanation: 4th to 8th week - The **cochlea** begins its development from the **otic vesicle** around the **4th week** of gestation and undergoes extensive coiling. - By the **8th week**, the cochlea has achieved its characteristic snail-like shape, though further differentiation and maturation continue. *First week* - The first week of embryonic development involves **fertilization**, **cleavage**, and **implantation**, with no organogenesis occurring [1]. - At this stage, the embryo is a **blastocyst**, and specific organ structures like the cochlea have not yet begun to form [1]. *8th to 12th week* - While significant maturation of the inner ear structures occurs during this period, the **rudimentary cochlea** has already formed its basic shape by the 8th week. - This phase involves further differentiation of the **organ of Corti** and development of neural connections, rather than the initial formation of the cochlea itself. *16 to 20th week* - By the 16th to 20th week, the inner ear structures are largely developed and functional, including the **cochlea**, which is capable of responding to sound stimuli. - This period marks the onset of **fetal hearing** and continued fine-tuning of the auditory system, far beyond the rudimentary stage of cochlear development.
Question 140: External auditory canal is formed by:
- A. 1st branchial groove (Correct Answer)
- B. 1st visceral pouch
- C. 2nd branchial groove
- D. 2nd visceral pouch
Explanation: 1st branchial groove - The **external auditory canal** is primarily derived from the **first branchial (pharyngeal) groove** during embryonic development [1]. - This groove deepens to form the primitive external auditory meatus, which later develops into the adult external auditory canal [1]. *1st visceral pouch* - The **first pharyngeal (visceral) pouch** gives rise to structures like the **eustachian tube** (auditory tube) and the **middle ear cavity** (tympanic cavity) [1]. - It does not contribute to the formation of the external auditory canal. *2nd branchial groove* - The **second pharyngeal (branchial) groove** contributes to the formation of the **cervical sinus**, which normally obliterates. - Persistence of this groove can lead to **cervical cysts or fistulae**, but it is not involved in ear development. *2nd visceral pouch* - The **second pharyngeal (visceral) pouch** develops into the **palatine tonsils** and its fossa. - It plays no role in the formation of the external auditory canal or other ear structures.