NEET-PG 2012 Practice Questions

Q: Nutrient artery runs ?

Away from epiphysis. ***Away from epiphysis*** - The **nutrient artery** runs away from the **dominant (faster-growing) epiphysis** towards the non-dominant end of the bone. - This follows the classic anatomical rule: **"To the elbow, from the knee"** - nutrient arteries point towards the elbow in upper limb bones and away from the knee in lower limb bones. - The **nutrient foramen** is directed obliquely away from the more actively growing end, established during bone development. - Examples: In the humerus, it runs towards the elbow (away from proximal epiphysis); in the femur, it runs away from the knee (away from distal epiphysis). *Towards metaphysis* - While the artery does course towards the metaphyseal region of the slower-growing end, this option is less anatomically precise. - The standard teaching emphasizes the relationship with the **dominant epiphysis** rather than the metaphysis. *Away from metaphysis* - This is **incorrect** - the nutrient artery actually runs **towards** the metaphysis of the non-dominant end. - It runs **away from** the dominant epiphysis, not away from the metaphysis. *None of the options* - This is incorrect as **"Away from epiphysis"** correctly describes the direction of the nutrient artery relative to the dominant growing end.

Q: Renal papilla opens into -

Minor calyx. ***Minor calyx*** - The **renal papilla** is the apex of the renal pyramid, which drains urine directly into a **minor calyx**. - Minor calyces then merge to form major calyces, eventually leading to the renal pelvis. *Cortex* - The **renal cortex** is the outer layer of the kidney, containing glomeruli and convoluted tubules, and does not directly receive urine from the papilla. - Urine is primarily formed and filtered in the cortex and then flows into the medulla. *Pyramid* - A **renal pyramid** is a conical structure within the renal medulla, and the renal papilla is its tip, but it doesn't open *into* the pyramid itself. - Instead, the pyramid *contains* the structures that contribute to the papilla. *Major calyx* - A **major calyx** is formed by the convergence of several minor calyces. - The renal papilla drains into the minor calyx, which then, in turn, drains into the major calyx.

Q: Inferior parathyroid develops from which pharyngeal pouch?

3rd. The inferior parathyroid glands develop from the dorsal wing of the third pharyngeal pouch. Due to their origin, they often migrate further caudally than the superior parathyroid glands, sometimes even locating within the thymus which also develops from the third pouch. *1st* - The first pharyngeal pouch contributes to the formation of the eustachian tube, tympanic cavity, and mastoid air cells. - It has no role in the development of the parathyroid glands. *2nd* - The second pharyngeal pouch mainly gives rise to the palatine tonsils and their crypts. - It is not involved in the development of parathyroid tissue. *4th* - The fourth pharyngeal pouch gives rise to the superior parathyroid glands and the parafollicular cells (C cells) of the thyroid, which produce calcitonin. - While it forms parathyroid tissue, it is for the superior glands, not the inferior ones.

Q: Skeletal derivative of 2nd pharyngeal arch -

Stapes. ***Stapes*** - The **2nd pharyngeal arch** (also known as the hyoid arch) gives rise to several structures, including Reichert's cartilage, which forms the **stapes** bone, the styloid process, the lesser horn of the hyoid, and the upper part of the hyoid body. - Its muscles include the **stapedius**, stylohyoid, posterior belly of the digastric, and muscles of facial expression. *Malleus* - The **malleus** is derived from the **1st pharyngeal arch** (Meckel's cartilage), along with the incus. - The 1st pharyngeal arch is also responsible for forming the malleus, incus, and mandible. *Incus* - Similar to the malleus, the **incus** also originates from the **1st pharyngeal arch** (Meckel's cartilage). - Both the malleus and incus are crucial components of the middle ear ossicles but are structurally distinct from the stapes. *Maxilla* - The **maxilla** development is primarily from the **maxillary prominence** of the first pharyngeal arch, which is a subdivision of the first arch but does not originate from the 2nd arch. - It forms a significant portion of the midface and upper jaw, contributing to the nasal cavity and orbital floor.

Q: In walking, gravity tends to tilt pelvis and trunk to the unsupported side, the major factor in preventing this unwanted movement is?

Gluteus medius and minimus. ***Gluteus medius and minimus*** - The **gluteus medius** and **gluteus minimus** are essential **abductors** of the hip, primarily responsible for stabilizing the pelvis during the **single-limb support phase of gait**. - When one leg is lifted during walking, these muscles on the **stance leg side** contract to prevent the pelvis from tilting downwards on the unsupported swing leg side. *Adductor muscles* - **Adductor muscles** (adductor longus, brevis, magnus, pectineus, gracilis) primarily function to bring the thigh toward the midline of the body. - While they play a role in gait stability, their main action is not to prevent the lateral pelvic tilt described. *Quadriceps* - The quadriceps femoris group (rectus femoris, vastus lateralis, medialis, intermedius) are powerful **extensors of the knee**. - They are crucial for weight acceptance and propulsion during walking but do not directly prevent lateral pelvic tilt [1]. *Gluteus maximus* - The **gluteus maximus** is the largest and most powerful muscle of the hip, primarily responsible for **hip extension** and **external rotation**. - It is crucial for activities like climbing stairs or running, but its main role in normal walking is not to prevent lateral pelvic tilt; that function is more specific to the gluteus medius and minimus.

Q: The anticodon region is an important part of which type of RNA?

t-RNA. **t-RNA** - The **anticodon region** is a critical component of **transfer RNA (tRNA)**, responsible for recognizing and binding to the complementary codon on mRNA during protein synthesis. - This interaction ensures that the correct **amino acid** is delivered to the growing polypeptide chain according to the genetic code. *r-RNA* - **Ribosomal RNA (rRNA)** is a structural and enzymatic component of **ribosomes**, which are the cellular machinery for protein synthesis. - While rRNA plays a crucial role in forming **peptide bonds** and facilitating translation, it does not possess an anticodon region. *m-RNA* - **Messenger RNA (mRNA)** carries the **genetic code** from DNA to the ribosomes in the form of codons, which specify the sequence of amino acids for protein synthesis. - mRNA molecules have codons, but they do not have an **anticodon region**; instead, they are read by the anticodons of tRNA. *hn-RNA* - **Heterogeneous nuclear RNA (hnRNA)** is a precursor to mRNA in eukaryotic cells, containing both exons and introns. - It undergoes extensive processing, including **splicing**, to become mature mRNA, but it does not have an **anticodon region**.

Q: How do enzymes function in biochemical reactions?

Decrease in activation energy. ***Decrease in activation energy*** - Enzymes act as **biological catalysts** by providing an alternative reaction pathway with a lower **transition state energy**. - This reduction in the **activation energy** allows a higher proportion of reactant molecules to overcome the energy barrier and react, thereby increasing the reaction rate. *Increase in activation energy* - This statement is incorrect as increasing activation energy would slow down the reaction rate, which is contrary to the function of enzymes. - Enzymes are designed to accelerate reactions, not inhibit them, by making them energetically more favorable to proceed. *Shift equilibrium constant* - Enzymes catalyze both the forward and reverse reactions equally, meaning they accelerate the rate at which equilibrium is reached but **do not alter the equilibrium constant (Keq)** of a reaction. - The equilibrium constant is determined by the difference in free energy between reactants and products, which enzymes do not change. *Provide energy to the reaction* - This statement is incorrect because enzymes do **not provide energy** to reactions; they only lower the activation energy barrier. - Enzymes facilitate reactions by stabilizing the transition state, not by adding energy to the system, which would violate thermodynamic principles.

Q: Which of the following complications is commonly associated with mitral valve prolapse?

Infective endocarditis. Mitral valve prolapse (MVP) involves myxomatous degeneration of the mitral valve leaflets, which can create a rough surface predisposing to bacterial adhesion and subsequent infective endocarditis [1]. While the overall risk is low, patients with MVP and accompanying mitral regurgitation or thickened leaflets are at higher risk [1]. Patients with valvular heart disease are generally susceptible to bacterial endocarditis, often associated with procedures or dental hygiene [2]. Stroke - Although MVP can sometimes be associated with embolic events (e.g., from thrombi forming on the prolapsing valve), stroke is not considered a commonly associated complication. - The risk of stroke is generally higher in MVP patients with concomitant atrial fibrillation or other cardiovascular risk factors. Mitral stenosis - Mitral valve prolapse is characterized by the displacement of mitral valve leaflets into the left atrium during systole, which can lead to mitral regurgitation [3], not stenosis. - Mitral stenosis involves narrowing of the mitral valve orifice, usually due to rheumatic fever, which is a different pathophysiology [4]. Ventricular arrhythmia - While palpitations (often benign supraventricular ectopy) are common in MVP, clinically significant ventricular arrhythmias are less common. - Severe ventricular arrhythmias are more typically seen with significant underlying myocardial disease or severe mitral regurgitation causing left ventricular dysfunction.

Q: Which structure do cytotrophoblasts invade during implantation?

Decidua basalis. ***Decidua basalis*** - The **cytotrophoblasts** invade the maternal **decidua basalis**, which is the portion of the **endometrium** directly underlying the implanted embryo, forming the maternal component of the **placenta**. - This invasion is crucial for establishing the **placenta** and allowing for nutrient and waste exchange between the mother and the fetus. *Decidua parietalis* - The **decidua parietalis** is the portion of the **endometrium** lining the rest of the **uterine cavity**, not directly involved in the immediate implantation site. - It plays a role later in pregnancy, fusing with the **decidua capsularis** as the **embryo** grows. *Decidua capsularis* - The **decidua capsularis** is the portion of the endometrium that overlies the implanted embryo, separating it from the uterine lumen. - It does not undergo invasion by the **cytotrophoblasts** in the same way the **decidua basalis** does. *Decidua vera* - The **decidua vera** is another term for the **decidua parietalis**, referring to the endometrial lining of the uterine cavity that is not involved in the implantation site. - It is not directly invaded by **cytotrophoblasts** during implantation.

Q: What is the fixed length of a myosin filament?

1.6 micrometers. ***1.6 micrometers*** - Myosin filaments, also known as **thick filaments**, are integral components of muscle contraction and have a characteristic fixed length. This length is precisely **1.6 micrometers** in mammalian skeletal muscle. - This consistent length is crucial for the **sliding filament model** of muscle contraction, ensuring proper overlap with actin filaments and efficient force generation. *0.16 nm* - This value is significantly too small; **nanometers (nm)** are typically used for atomic or molecular distances, not for entire protein filaments like myosin. - A myosin filament is composed of hundreds of myosin molecules, making its overall length much larger than a fraction of a nanometer. *16 nm* - While nanometers are used for molecular structures, 16 nm is still too small for a myosin filament. The entire filament is roughly **100 times larger** than this value. - This dimension might be more appropriate for the diameter of a single myosin molecule's head region, but not the entire filament's length. *1.6 mm* - This value is significantly too large; **millimeters (mm)** are visible to the naked eye and represent macroscopic objects. - Muscle filaments are microscopic structures, and a length of 1.6 mm would imply they are many times longer than an entire muscle cell.

Question 1

Nutrient artery runs ?

Accepted Answer

Away from epiphysis

Answer

Towards metaphysis

Answer

None of the options

Answer

Away from metaphysis

Question 2

Renal papilla opens into -

Accepted Answer

Minor calyx

Answer

Cortex

Answer

Pyramid

Answer

Major calyx

Question 3

Inferior parathyroid develops from which pharyngeal pouch?

Accepted Answer

3rd

Answer

1st

Answer

2nd

Answer

4th

Question 4

Skeletal derivative of 2nd pharyngeal arch -

Accepted Answer

Stapes

Answer

Malleus

Answer

Incus

Answer

Maxilla

Question 5

In walking, gravity tends to tilt pelvis and trunk to the unsupported side, the major factor in preventing this unwanted movement is?

Accepted Answer

Gluteus medius and minimus

Answer

Adductor muscles

Answer

Quadriceps

Answer

Gluteus maximus

Question 6

The anticodon region is an important part of which type of RNA?

Accepted Answer

t-RNA

Answer

r-RNA

Answer

m-RNA

Answer

hn-RNA

Question 7

How do enzymes function in biochemical reactions?

Accepted Answer

Decrease in activation energy

Answer

Increase in activation energy

Answer

Shift equilibrium constant

Answer

Provide energy to the reaction

Question 8

Which of the following complications is commonly associated with mitral valve prolapse?

Accepted Answer

Infective endocarditis

Answer

Ventricular arrhythmia

Answer

Stroke

Answer

Mitral stenosis

Question 9

Which structure do cytotrophoblasts invade during implantation?

Accepted Answer

Decidua basalis

Answer

Decidua capsularis

Answer

Decidua vera

Answer

Decidua parietalis

Question 10

What is the fixed length of a myosin filament?

Accepted Answer

1.6 micrometers

Answer

0.16 nm

Answer

16 nm

Answer

1.6 mm

NEET-PG 2012

Anatomy

Biochemistry

Internal Medicine

Obstetrics and Gynecology

Physiology