NEET-PG 2012 Practice Questions

Q: Ovarian fossa is formed by all except?

Round ligament of ovary. ***Round ligament of ovary*** - The **round ligament of ovary** (ovarian ligament) connects the ovary to the lateral wall of the uterus and does NOT form any boundary of the ovarian fossa [1]. - It lies medial to the ovary and is not involved in forming the depression of the ovarian fossa [1]. - This ligament anchors the ovary but is separate from the peritoneal boundaries defining the fossa [1]. *Obliterated umbilical artery* - The **obliterated umbilical artery** (medial umbilical ligament) forms the **anterior boundary** of the ovarian fossa [2]. - This is a key anatomical landmark running along the lateral pelvic wall anterior to the ovary [2]. *Internal iliac artery* - The **internal iliac artery** forms the **posterior boundary** of the ovarian fossa [2]. - It lies on the lateral pelvic wall, deep and posterior to the ovarian fossa [2]. - This is one of the main structures defining the fossa's posterior limit [2]. *Ureter* - The **ureter** runs along the lateral pelvic wall and forms part of the **posterior/floor boundary** of the ovarian fossa [2]. - It passes posteroinferior to the ovary, contributing to the fossa's posterior limits [2].

Q: Which of the following statements about the Corpus Callosum is correct?

Connects the left and right hemispheres. ***Connects the left and right hemispheres*** - The **corpus callosum** is the largest **commissural white matter tract** in the brain, uniquely designed to facilitate communication between the **corresponding regions** of the left and right cerebral hemispheres [1]. - Its primary function is to integrate **sensory, motor, and cognitive information** processed in each hemisphere, ensuring coordinated brain activity [1]. *Connects distant areas of the two sides of the brain* - While it connects regions on the two sides of the brain, the statement is too broad and does not specify its role in connecting **corresponding** or **homologous** areas across the hemispheres. - Other fiber tracts (e.g., **anterior commissure**) also connect different areas between the two sides, but the corpus callosum is specific to the **cerebral hemispheres**. *Connects the two frontal lobes* - The corpus callosum connects all four lobes (frontal, parietal, temporal, occipital) between the two hemispheres, not exclusively the **frontal lobes**. - While it does contain fibers connecting the frontal lobes, this statement is **incomplete** and does not capture its overall function. *All of the options* - Since the other options are either **incorrect** or **incomplete**, this option cannot be correct. - The most accurate and encompassing description of the corpus callosum's function among the choices is connecting the left and right hemispheres.

Q: In bladder injury, pain is referred to which of the following areas?

Lower abdominal wall. ***Correct Option: Lower abdominal wall*** - **Referred pain** from the bladder is typically felt in the **suprapubic region** of the lower abdominal wall due to shared visceral and somatic afferent innervation. - The **parietal peritoneum** overlying the bladder is innervated by somatic nerves that also supply the abdominal wall. - This convergence of visceral afferents from the bladder and somatic afferents from the abdominal wall at the spinal cord level (particularly S2-S4) results in referred pain to the suprapubic area. *Incorrect Option: Upper part of thigh* - Pain in the upper thigh is more commonly associated with conditions affecting the **hip joint**, **femoral nerve**, or **inguinal region**. - Bladder innervation does not primarily refer pain to the upper thigh. *Incorrect Option: Flank* - Flank pain is typically associated with conditions of the **kidneys** or **ureters**, such as **nephrolithiasis** or **pyelonephritis**. - The bladder's referred pain pattern does not usually extend to the flank. *Incorrect Option: Penis* - While bladder irritation can sometimes cause sensations in the penis, it is more often associated with conditions like **urethritis**, **cystitis**, or **prostatitis**. - Direct referred pain from bladder injury to the penis is less common than to the lower abdominal wall.

Q: Which of the following is a tributary of the coronary sinus?

Great cardiac vein. ***Great cardiac vein*** - The **great cardiac vein** is a major tributary that drains into the **coronary sinus**, carrying deoxygenated blood from the anterior and left ventricular walls [1]. - It travels alongside the **anterior interventricular artery** (LAD) and then wraps around the left side of the heart to join the coronary sinus [1]. *Anterior cardiac vein* - The **anterior cardiac veins** typically collect blood directly into the **right atrium**, bypassing the coronary sinus [1]. - They primarily drain the anterior wall of the right ventricle. *Thebesian vein* - **Thebesian veins** (or venae cordis minimae) are small veins that drain blood from the **myocardium directly into the heart chambers**, predominantly the atria [1]. - They represent a direct communication between the myocardial capillaries and the heart chambers, not tributaries of the coronary sinus. *Smallest cardiac vein* - The term "smallest cardiac vein" is often used synonymously with **Thebesian veins** [1]. - These veins empty directly into the **heart chambers**, serving as an ancillary drainage system, rather than converging into the coronary sinus.

Q: From which ribs does the spleen extend?

9th to 11th rib. ***9th to 11th rib*** - The **spleen** is located in the **left upper quadrant** of the abdomen, deep to the 9th, 10th, and 11th ribs. - Its protected position beneath these ribs makes it vulnerable to injury from trauma to the left lower chest or upper abdomen. *5th to 9th rib* - This range primarily covers the location of the **heart** and the upper part of the **lungs**. - While the spleen is superior to other abdominal organs, it does not extend as high as the 5th rib. *2nd to 5th rib* - This region is mainly associated with the **upper lobes of the lungs** and the **superior mediastinum**. - The spleen is an abdominal organ and is situated much lower in the thoracic cavity. *11th to 12th rib* - This range is too low and posterior for the typical position of the spleen, especially for its superior border. - The 12th rib primarily overlies the **kidneys** and the more inferior aspects of the diaphragm.

Q: Which of the following is not a branch of the inferior mesenteric artery?

Middle rectal. ***Middle rectal artery*** - The **middle rectal artery** [2] is typically a branch of the **internal iliac artery** [2], supplying the middle part of the rectum. - It is not a direct branch of the inferior mesenteric artery. *Left colic artery* - The left colic artery is a direct branch of the **inferior mesenteric artery** [1], supplying the distal transverse colon and descending colon. - It forms an important anastomosis with the middle colic artery [1]. *Superior rectal artery* - The **superior rectal artery** is the terminal branch of the **inferior mesenteric artery**, supplying the upper rectum. - This artery provides the primary arterial supply to the proximal large intestine structures. *Sigmoidal artery* - The **sigmoidal arteries** are typically 2-4 branches arising from the **inferior mesenteric artery**, supplying the sigmoid colon. - These arteries anastomose with branches of the superior rectal and left colic arteries.

Q: Which macronutrient has the highest thermogenic effect?

Proteins. ***Proteins*** - Proteins have the **highest thermogenic effect** (also known as the **thermic effect of food** or TEF) among macronutrients, typically ranging from **20-30%** of their caloric content. - This high TEF is due to the energy required for their **digestion**, **absorption**, and **metabolism** (e.g., deamination, protein synthesis), making them more metabolically "expensive" to process than fats or carbohydrates. *Fat* - Fat has the **lowest thermogenic effect**, accounting for approximately **0-3%** of its caloric content. - This low TEF is because fats are **easily absorbed** and stored, requiring minimal energy for their processing. *Carbohydrate* - Carbohydrates have an intermediate thermogenic effect, typically ranging from **5-10%** of their caloric content. - The energy expenditure for carbohydrate metabolism involves processes like **digestion**, **absorption**, and **glucose oxidation** or conversion to glycogen. *Alcohol* - While alcohol has a relatively high thermogenic effect (**20-25%**), it is **not classified as a macronutrient** in traditional nutritional science. - The three primary macronutrients are proteins, carbohydrates, and fats. Among these, **proteins** have the highest TEF.

Q: What is the term for the collapse of a lung?

Atelectasis. ***Atelectasis*** - **Atelectasis** is the technical term for the **collapse of a lung** or a part of a lung, leading to reduced or absent gas exchange. - It can be caused by **obstruction of the airway** (e.g., mucus plug, foreign body) or external compression on the lung [1]. *Emphysema* - **Emphysema** is a chronic lung disease characterized by the **destruction of the alveoli**, leading to permanent enlargement of airspaces [2]. - It results in reduced elastic recoil of the lungs and is a type of **COPD (chronic obstructive pulmonary disease)** [2]. *Bronchiectasis* - **Bronchiectasis** is a chronic condition where the airways (bronchi) become **abnormally widened** and scarred. - This widening leads to a buildup of mucus, making the lungs vulnerable to **recurrent infections**. *Bronchitis* - **Bronchitis** is an inflammation of the lining of the bronchial tubes, which carry air to and from your lungs. - It typically causes a **cough** with mucus production and can be acute or chronic.

Q: ANP acts at which site?

Collecting duct. ***Collecting duct*** - Atrial Natriuretic Peptide (**ANP**) exerts its primary effect on the **collecting duct** by inhibiting sodium reabsorption, leading to increased sodium and water excretion (natriuresis and diuresis). - This action helps to reduce blood volume and blood pressure in conditions like **hypervolemia**. *Glomerulus* - While ANP does cause **afferent arteriolar dilation** and **efferent arteriolar constriction**, increasing **glomerular filtration rate** (GFR), its direct tubular action is most prominent in the collecting duct. - The primary function of the glomerulus is **filtration**, influenced by many factors including pressure, but it is not the main site of ANP's direct tubular reabsorptive effects. *Loop of Henle* - The loop of Henle is responsible for establishing the **medullary osmotic gradient** and reabsorbing a significant amount of sodium and water. - ANP has minor effects on the loop of Henle, but its most impactful reabsorptive modulation occurs downstream in the collecting duct. *PCT* - The **proximal convoluted tubule (PCT)** is where the bulk of reabsorption of filtered substances (e.g., glucose, amino acids, most sodium and water) occurs. - ANP has very little direct influence on the reabsorptive processes of the PCT.

Q: Prostaglandins (PGs) in semen are secreted by?

Seminal vesicle. ***Seminal vesicle*** - The **seminal vesicles** are the primary source of **prostaglandins (PGs)** in semen, contributing significantly to the seminal fluid volume. - These PGs play a crucial role in promoting **sperm motility** and facilitating fertilization. *Prostate* - The **prostate gland** primarily secretes **citrate**, **acid phosphatase**, and **prostate-specific antigen (PSA)**, which contribute to sperm activation and semen liquefaction. - It does not significantly contribute to the prostaglandin content of semen. *Sperms* - **Spermatozoa** themselves primarily contribute genetic material and are not a significant source of prostaglandin synthesis in semen. - Their main function is fertilization, not the production of accessory gland secretions. *Testes* - The **testes** are responsible for **spermatogenesis** (sperm production) and the synthesis of **androgens** like testosterone. - They do not secrete prostaglandins into the seminal fluid.

Question 1

Ovarian fossa is formed by all except?

Accepted Answer

Round ligament of ovary

Answer

Internal iliac artery

Answer

Ureter

Answer

Obliterated umbilical artery

Question 2

Which of the following statements about the Corpus Callosum is correct?

Accepted Answer

Connects the left and right hemispheres

Answer

All of the options

Answer

Connects distant areas of the two sides of the brain

Answer

Connects the two frontal lobes

Question 3

In bladder injury, pain is referred to which of the following areas?

Accepted Answer

Lower abdominal wall

Answer

Flank

Answer

Upper part of thigh

Answer

Penis

Question 4

Which of the following is a tributary of the coronary sinus?

Accepted Answer

Great cardiac vein

Answer

Anterior cardiac vein

Answer

Smallest cardiac vein

Answer

Thebesian vein

Question 5

From which ribs does the spleen extend?

Accepted Answer

9th to 11th rib

Answer

5th to 9th rib

Answer

2nd to 5th rib

Answer

11th to 12th rib

Question 6

Which of the following is not a branch of the inferior mesenteric artery?

Accepted Answer

Middle rectal

Answer

Left colic

Answer

Superior rectal

Answer

Sigmoidal artery

Question 7

Which macronutrient has the highest thermogenic effect?

Accepted Answer

Proteins

Answer

Fat

Answer

Carbohydrate

Answer

Alcohol

Question 8

What is the term for the collapse of a lung?

Accepted Answer

Atelectasis

Answer

Emphysema

Answer

Bronchitis

Answer

Bronchiectasis

Question 9

ANP acts at which site?

Accepted Answer

Collecting duct

Answer

Glomerulus

Answer

Loop of Henle

Answer

PCT

Question 10

Prostaglandins (PGs) in semen are secreted by?

Accepted Answer

Seminal vesicle

Answer

Prostate

Answer

Sperms

Answer

Testes

NEET-PG 2012

Anatomy

Biochemistry

Pathology

Physiology