NEET-PG 2012 Practice Questions

Q: Ophthalmic artery is a branch of:

Cerebral part of ICA. ***Cerebral part of ICA*** - The **ophthalmic artery** is typically the first major branch off the **internal carotid artery (ICA)** once it exits the cavernous sinus and enters the cranial cavity. - This segment of the ICA is also known as the supraclinoid or **cerebral part**, underscoring its proximity to the brain. *Cavernous part of ICA* - The **cavernous part of the ICA** is located within the cavernous sinus and typically gives off smaller branches such as the **meningohypophyseal trunk** and the **inferolateral trunk**, which supply structures within and around the sinus. - The ophthalmic artery emerges after the ICA exits the cavernous sinus, not from within it. *MCA* - The **middle cerebral artery (MCA)** is a major terminal branch of the internal carotid artery, supplying large parts of the cerebrum. - It does not give rise to the ophthalmic artery, which branches off the ICA before the ICA bifurcates into the MCA and anterior cerebral artery. *Facial artery* - The **facial artery** is a branch of the **external carotid artery**, supplying structures of the face. - The ophthalmic artery is a primary supply to the orbit and is derived from the internal carotid artery, a completely separate vascular system.

Q: Sensory supply of the palm is from which nerves?

Ulnar nerve and Median nerve. **Ulnar nerve and Median nerve** *(Correct)* - The **median nerve** provides sensory innervation to the lateral palm, including the thumb, index, middle, and radial half of the ring finger [1]. - The **ulnar nerve** supplies sensory innervation to the medial palm, including the little finger and the ulnar half of the ring finger [1]. - Together, these two nerves provide complete sensory coverage of the palm [1]. *Median nerve and Radial nerve* (Incorrect) - While the **median nerve** innervates a significant portion of the palm, the **radial nerve** primarily supplies the dorsal aspect of the hand and a small area of the thenar eminence, not the entire palm. - The radial nerve's sensory supply to the palm is usually limited to a very small area at the base of the thumb. - This combination does not provide complete palmar sensory coverage. *Radial nerve and ulnar nerve* (Incorrect) - The **radial nerve** mainly supplies the dorsum of the hand and digits, with minimal palmar contribution, making this option incorrect for primary palmar sensory supply. - The **ulnar nerve** does innervate part of the palm, but the combination with the radial nerve for complete palmar supply is inaccurate. - The median nerve, not the radial nerve, is the other major contributor to palmar sensation. *Musculocutaneous nerve and Radial nerve* (Incorrect) - The **musculocutaneous nerve** primarily innervates the lateral aspect of the forearm (as the lateral antebrachial cutaneous nerve) and does not contribute to the sensory supply of the palm. - The **radial nerve** also has a limited role in palmar sensation. - Neither of these nerves provides significant sensory innervation to the palm.

Q: Which of the following is not the part of ethmoid bone?

Inferior turbinate. ***Inferior turbinate*** - The **inferior turbinate** (or inferior nasal concha) is a separate paired facial bone, distinct from the ethmoid bone. - It articulates with the maxilla, lacrimal, palatine, and ethmoid bones but is not a component of the ethmoid. *Agger nasi* - The **agger nasi** is an anatomical variant, an anterior expansion of the ethmoid air cells, and is thus functionally part of the ethmoid complex. - While not a distinct bone, it is an **ethmoid cell** that can be found in the anterior aspect of the middle meatus. *Crista galli* - The **crista galli** is a prominent, upward projection from the cribriform plate of the ethmoid bone, serving as an attachment point for the falx cerebri. - It is an integral and easily recognizable part of the **ethmoid bone**. *Uncinate process* - The **uncinate process** is a sickle-shaped bony projection that arises from the inferior aspect of the ethmoid bone. - It forms the anterior boundary of the **hiatus semilunaris** and is crucial for the drainage of the frontal and maxillary sinuses.

Q: Anal valve is found in which part of anal canal?

Middle. ***Middle*** - The **anal valves** are crescentic folds located at the level of the **pectinate (dentate) line** in the middle portion of the anal canal. - They mark the inferior limit of the **anal columns** and form small recesses called **anal sinuses**. *Lower* - The lower part of the anal canal, below the pectinate line, is lined by **anoderm** and lacks anal valves. - This region is sensitive to pain due to somatic innervation. *At anus* - The anus refers to the external opening and perianal skin, which does not contain anal valves. - The anal canal transitions into the perianal skin at the anocutaneous line. *Upper* - The upper part of the anal canal, above the pectinate line, contains the **anal columns (columns of Morgagni)** but not the anal valves themselves, which are located at the base of these columns. - This region is lined by columnar epithelium and is relatively insensitive to pain.

Q: Primary and secondary palates are divided by

Incisive foramen. ***Incisive foramen*** - The **incisive foramen** is an anatomical landmark located just posterior to the central incisors, and it marks the boundary between the developmentally distinct primary and secondary palates. - The **primary palate** develops from the median palatine process, while the **secondary palate** develops from the palatal shelves of the maxillary prominences [1]. *Greater palatine foramen* - The **greater palatine foramen** is located near the posterior border of the hard palate, transmitting the greater palatine nerve and vessels. - It lies within the **secondary palate** and does not delineate the boundary between the primary and secondary palatal structures. *Canine teeth* - The **canine teeth** are part of the dental arch and play a role in mastication. - While located in the anterior part of the oral cavity, they are not a developmental or anatomical boundary marker for palatal divisions [1]. *Alveolar arch* - The **alveolar arch** is the bone that supports the teeth, forming the curved ridge of the maxilla and mandible [1]. - It is distinct from the palate and does not serve as a divider between the primary and secondary palatal components.

Q: What is the anatomical significance of the Rhinion in relation to the osseocartilaginous junction?

Rhinion. ***Correct Answer: Rhinion*** - The **rhinion** is the **most prominent anterior point of the nasal bone**, often palpable as a slight bump or angulation on the dorsum of the nose. - It marks the anatomical location of the **osseocartilaginous junction** of the nasal dorsum, where the bony nasal framework transitions to the cartilaginous framework. - This is the key anatomical landmark that defines the transition from bone to cartilage in the external nose. *Incorrect: Nasion* - The **nasion** is located at the **root of the nose**, specifically at the most anterior and superior point of the nasofrontal suture. - It is a bony landmark and does not directly relate to the osseocartilaginous junction of the nasal dorsum. *Incorrect: Radix* - The **radix** (or nasal root) refers to the **uppermost part of the nose**, corresponding to the nasion. - It defines the point where the nose begins to project from the forehead and is a bony landmark, not directly related to the osseocartilaginous junction. *Incorrect: Columella* - The **columella** is the **fleshy, narrow strip of tissue that separates the nostrils**. - It forms the inferior segment of the nasal septum and is composed of skin, soft tissue, and the medial crura of the alar cartilages, thus having no direct relation to the osseocartilaginous junction of the nasal dorsum.

Q: Primordial germ cells are derived from:

Yolk sac. ***Yolk sac*** - **Primordial germ cells (PGCs)** arise from **epiblast** cells but are first identifiable in the wall of the **yolk sac** during the **3rd week** of development. - From the yolk sac, they migrate during the **4th-6th week** through the dorsal mesentery to reach the developing **genital ridges** (gonads) where they form **gametes** [2]. - The yolk sac is considered the site where PGCs are recognized and begin their journey to the gonads. *Neural crest* - Neural crest cells are multipotent cells that migrate to various locations and differentiate into structures like **neurons**, **glial cells**, **melanocytes**, and **facial cartilage**, not germ cells. - They arise from the dorsal part of the **neural tube** during neurulation. *Genital ridge* - The genital ridge is the embryonic structure that develops into the **gonads** (testes or ovaries) [1]. - Primordial germ cells migrate *to* the genital ridge, but they do not originate *from* it — it is their destination, not their source. *Somatopleuritic mesoderm* - **Somatopleuritic mesoderm** (somatic mesoderm) forms the **parietal layer** of serous membranes, the dermis of the body wall, and the skeletal elements of the limbs. - It does not give rise to **primordial germ cells**.

Q: Which of the following is true about coeliac plexus block?

Most common side effects include diarrhea and hypotension. ***Most common side effects include diarrhea and hypotension*** - A coeliac plexus block interrupts **sympathetic innervation** to the upper abdominal organs, which can lead to parasympathetic dominance. - This imbalance often results in **increased gastrointestinal motility (diarrhea)** and **vasodilation (hypotension)** as common side effects. *Located retroperitoneally at the level of L3* - The coeliac plexus is typically located **retroperitoneally** at the level of the **T12-L1 vertebrae**, not L3. - Its position is generally superior to the renal arteries, which are closer to L1-L2. *Usually done unilaterally* - A coeliac plexus block is almost always performed **bilaterally** or with a single posterior approach aiming for bilateral spread to effectively block the plexus. - The coeliac plexus is an extensive network, and a unilateral block would likely provide inadequate pain relief. *Useful for painful conditions of the lower abdomen* - The coeliac plexus primarily innervates **upper abdominal organs** (e.g., pancreas, liver, stomach, small intestine, kidneys, adrenal glands). - It is therefore generally **ineffective for lower abdominal pain**, which is innervated by different sympathetic plexuses (e.g., superior and inferior hypogastric plexuses).

Q: Stability of alveoli is maintained by:

Reduced surface tension by surfactant. ***Reduced surface tension by surfactant*** - **Surfactant** (a mixture of lipoproteins) reduces the **surface tension** at the air-liquid interface within the alveoli, preventing their collapse at the end of expiration. - This reduction in surface tension helps to maintain the **stability** and patency of the smaller alveoli, preventing them from emptying into larger ones. *Compliance of the lungs* - **Compliance** refers to the distensibility of the lungs and chest wall, indicating how easily they can be stretched. - While pulmonary compliance is important for easy breathing, it does not directly maintain the stability of individual alveoli in preventing their collapse. *Negative intrapleural pressure* - **Negative intrapleural pressure** helps to keep the lungs expanded by creating a vacuum between the visceral and parietal pleura, pulling the lungs outwards. - This pressure prevents the lung as a whole from collapsing but does not directly prevent the collapse of individual alveoli due to surface tension. *Residual air in alveoli* - **Residual volume** is the amount of air remaining in the lungs after a maximal exhalation. - While residual air prevents the complete collapse of the lungs, it is surface tension reduction by surfactant that specifically maintains the stability of individual alveoli against collapse forces.

Question 1

Ophthalmic artery is a branch of:

Accepted Answer

Cerebral part of ICA

Answer

Cavernous part of ICA

Answer

MCA

Answer

Facial artery

Question 2

Sensory supply of the palm is from which nerves?

Accepted Answer

Ulnar nerve and Median nerve

Answer

Median nerve and Radial nerve

Answer

Radial nerve and ulnar nerve

Answer

Musculocutaneous nerve and Radial nerve

Question 3

Which of the following is not the part of ethmoid bone?

Accepted Answer

Inferior turbinate

Answer

Agger nasi

Answer

Crista galli

Answer

Uncinate process

Question 4

Anal valve is found in which part of anal canal?

Accepted Answer

Middle

Answer

Lower

Answer

At anus

Answer

Upper

Question 5

Primary and secondary palates are divided by

Accepted Answer

Incisive foramen

Answer

Greater palatine foramen

Answer

Canine teeth

Answer

Alveolar arch

Question 6

What is the anatomical significance of the Rhinion in relation to the osseocartilaginous junction?

Accepted Answer

Rhinion

Answer

Nasion

Answer

Radix

Answer

Columella

Question 7

Primordial germ cells are derived from:

Accepted Answer

Yolk sac

Answer

Neural crest

Answer

Genital ridge

Answer

Somatopleuritic mesoderm

Question 8

Which of the following is true about coeliac plexus block?

Accepted Answer

Most common side effects include diarrhea and hypotension

Answer

Usually done unilaterally

Answer

Located retroperitoneally at the level of L3

Answer

Useful for painful conditions of the lower abdomen

Question 9

Stability of alveoli is maintained by:

Accepted Answer

Reduced surface tension by surfactant

Answer

Negative intrapleural pressure

Answer

Residual air in alveoli

Answer

Compliance of the lungs

Question 10

Which one of the following is the CORRECT statement regarding coronary blood flow?

Accepted Answer

Coronary blood flow is directly related to perfusion pressure and inversely related to resistance

Answer

Coronary blood flow is inversely related to perfusion pressure and directly related to resistance

Answer

Coronary blood flow is directly related to perfusion pressure and also to resistance

Answer

Coronary blood flow is inversely related to both pressure and resistance

NEET-PG 2012

Anatomy

Anesthesiology

Dental

Physiology