Anatomy
8 questionsNerve supply of stapedius is:
Which artery is the major supply of the medial surface of the cerebral hemisphere?
The third ventricle is a cavity located in which part of the brain?
Oxyntic cells are present in -
Gastrosplenic ligament contains ?
Secretomotor fibers to parotid gland are through?
Which nerve supplies the postganglionic fibers to the parotid gland?
Lips do not drain into which group of lymph nodes?
NEET-PG 2015 - Anatomy NEET-PG Practice Questions and MCQs
Question 111: Nerve supply of stapedius is:
- A. Facial nerve (7th nerve) (Correct Answer)
- B. Oculomotor nerve (3rd nerve)
- C. Trigeminal nerve (5th nerve)
- D. Glossopharyngeal nerve (9th nerve)
Explanation: ***Facial nerve (7th nerve)*** - The **facial nerve** is responsible for innervating the **stapedius muscle**, which helps to dampen loud sounds by pulling the stapes away from the oval window. - A lesion in the facial nerve can lead to **hyperacusis** due to the paralysis of the stapedius muscle. *Oculomotor nerve (3rd nerve)* - The **oculomotor nerve** primarily controls **eye movements** and **pupil constriction**. - It does not have any direct involvement in the innervation of middle ear muscles. *Trigeminal nerve (5th nerve)* - The **trigeminal nerve** is responsible for **sensation of the face** and innervates the **muscles of mastication**. - It provides motor supply to the **tensor tympani muscle**, not the stapedius. *Glossopharyngeal nerve (9th nerve)* - The **glossopharyngeal nerve** is primarily involved in **taste sensation** from the posterior tongue, **swallowing**, and mediating the **gag reflex**. - It does not innervate any muscles of the middle ear.
Question 112: Which artery is the major supply of the medial surface of the cerebral hemisphere?
- A. Anterior cerebral artery (Correct Answer)
- B. Posterior cerebral artery
- C. Middle cerebral artery
- D. Posterior inferior cerebellar artery
Explanation: ***Anterior cerebral artery*** - The **anterior cerebral artery (ACA)** is a primary branch of the internal carotid artery and is responsible for supplying blood to the **medial surface** of the frontal and parietal lobes of the cerebral hemispheres [1]. - It also supplies the **corpus callosum**, the superior aspect of the frontal and parietal lobes, and parts of the basal ganglia [1]. *Posterior cerebral artery* - The **posterior cerebral artery (PCA)** primarily supplies the **occipital lobe** and the inferior part of the **temporal lobe** [1]. - It also provides blood to parts of the midbrain and the **thalamus** [1]. *Middle cerebral artery* - The **middle cerebral artery (MCA)** is the largest cerebral artery and supplies most of the **lateral surface** of the cerebral hemispheres [1]. - It is crucial for the blood supply to the **motor and sensory cortices** for the face and upper limb, as well as language areas (Broca's and Wernicke's). *Posterior inferior cerebellar artery* - The **posterior inferior cerebellar artery (PICA)** is a branch of the **vertebral artery** and exclusively supplies the **cerebellum** and the lateral medulla. - It is not involved in the blood supply to the cerebral hemispheres.
Question 113: The third ventricle is a cavity located in which part of the brain?
- A. Mesencephalon
- B. Rhombencephalon
- C. Diencephalon (Correct Answer)
- D. Telencephalon
Explanation: ***Diencephalon*** - The **third ventricle** is a narrow, median cavity situated within the **diencephalon** of the brain. - It connects the lateral ventricles via the **interventricular foramen (of Monro)** and with the fourth ventricle via the **cerebral aqueduct (of Sylvius)** [2]. *Mesencephalon* - The **mesencephalon (midbrain)** contains the **cerebral aqueduct**, but not the third ventricle itself [1]. - It is located superior to the pons and inferior to the diencephalon. *Rhombencephalon* - The **rhombencephalon (hindbrain)** contains the **fourth ventricle**, which is situated posterior to the pons and medulla oblongata [2]. - It develops into the pons, cerebellum, and medulla oblongata. *Telencephalon* - The **telencephalon (cerebrum)** contains the **lateral ventricles**, which are paired cavities, one in each cerebral hemisphere [2]. - The telencephalon is the most anterior part of the brain and develops into the cerebral cortex, basal ganglia, and limbic system.
Question 114: Oxyntic cells are present in -
- A. Pylorus
- B. Cardia
- C. Body (Correct Answer)
- D. None of the options
Explanation: ***Body*** - **Oxyntic cells**, also known as **parietal cells**, are predominantly located in the **fundus and body** of the stomach [1], [2]. - These cells are responsible for secreting **hydrochloric acid (HCl)** and **intrinsic factor**, which are crucial for digestion and vitamin B12 absorption [1]. - The gastric glands in the body contain the highest concentration of parietal cells [2]. *Pylorus* - The pylorus is the distal part of the stomach that connects to the duodenum. - It primarily contains **G cells**, which secrete **gastrin**, a hormone that stimulates HCl secretion from parietal cells [3]. - Pyloric glands contain mainly mucus-secreting cells, with few or no parietal cells [2]. *Cardia* - The cardia is the region near the gastroesophageal junction (entrance of the stomach). - This area primarily contains **cardiac glands** with mucus-secreting cells that protect the esophageal lining from gastric acid reflux. - Parietal cells are sparse or absent in the cardia [2]. *None of the options* - This option is incorrect because the **body of the stomach** is the correct location for oxyntic cells.
Question 115: Gastrosplenic ligament contains ?
- A. Splenic vessels
- B. Tail of pancreas
- C. Short gastric artery (Correct Answer)
- D. Portal vein
Explanation: ***Short gastric artery*** - The **short gastric arteries** are branches of the **splenic artery** and supply the **fundus** and upper part of the **greater curvature** of the stomach. - These vessels travel within the **gastrosplenic ligament** (or gastrosplenic omentum), connecting the greater curvature of the stomach to the hilum of the spleen [1]. *Splenic vessels* - The **splenic artery** and **vein** primarily travel within the **splenorenal ligament** (or lienorenal ligament), connecting the spleen to the posterior abdominal wall. - These major vessels supply and drain the spleen itself, not typically running within the gastrosplenic ligament [1]. *Tail of pancreas* - The **tail of the pancreas** is typically located within the **splenorenal ligament**, closely associated with the **hilum of the spleen** [1]. - It does not extend into the gastrosplenic ligament, which connects the stomach to the spleen. *Portal vein* - The **portal vein** is a major vessel formed by the confluence of the **splenic vein** and **superior mesenteric vein**, and it is located in the **hepatoduodenal ligament** (part of the lesser omentum) along with the hepatic artery and common bile duct. - This vessel is far removed from the gastrosplenic ligament, which is situated between the stomach and spleen.
Question 116: Secretomotor fibers to parotid gland are through?
- A. Tympanic plexus (Correct Answer)
- B. Greater petrosal nerve
- C. Geniculate ganglion
- D. None of the options
Explanation: This is an easy question, and the expected Bloom's level is low (L1) with an expectation of just remembering the right answer. ***Tympanic plexus*** - The secretomotor fibers to the parotid gland originate from the inferior **salivatory nucleus**, travel via the **glossopharyngeal nerve (CN IX)** to the tympanic plexus. - From the tympanic plexus, these preganglionic parasympathetic fibers form the **lesser petrosal nerve**, which synapses in the otic ganglion, and postganglionic fibers then join the **auriculotemporal nerve** to reach the parotid gland. *Greater petrosal nerve* - The **greater petrosal nerve** carries preganglionic parasympathetic fibers that primarily innervate the **lacrimal gland** and glands of the nasal cavity and palate, not the parotid gland. - It is a branch of the **facial nerve (CN VII)**, whereas secretomotor innervation to the parotid is from the glossopharyngeal nerve (CN IX). *Geniculate ganglion* - The **geniculate ganglion** is a sensory ganglion of the **facial nerve (CN VII)**, containing cell bodies for taste sensation from the anterior two-thirds of the tongue. - It is not directly involved in transmitting secretomotor fibers to the parotid gland. *None of the options* - As the **tympanic plexus** is the correct conduit for the secretomotor fibers to the parotid gland, this option is incorrect. - The pathway involves a specific sequence of nerves and ganglia, which includes the tympanic plexus as a key relay point.
Question 117: Which nerve supplies the postganglionic fibers to the parotid gland?
- A. Auriculotemporal nerve (Correct Answer)
- B. Glossopharyngeal nerve
- C. Facial nerve
- D. Greater superficial petrosal nerve
Explanation: ***Auriculotemporal nerve*** - This nerve carries the **postganglionic parasympathetic fibers** from the **otic ganglion** to the parotid gland, stimulating saliva production. - These fibers originate from the **glossopharyngeal nerve (CN IX)**, synapse in the otic ganglion, and then join the auriculotemporal nerve. *Glossopharyngeal nerve* - The glossopharyngeal nerve (CN IX) provides the **preganglionic parasympathetic fibers** that ultimately reach the parotid gland. - These preganglionic fibers synapse in the **otic ganglion**, not directly supply the gland with postganglionic fibers. *Facial nerve* - The facial nerve (CN VII) supplies the **submandibular** and **sublingual glands** with parasympathetic innervation, via the chorda tympani and submandibular ganglion. - It does not innervate the parotid gland for salivary secretion. *Greater superficial petrosal nerve* - This nerve (a branch of the facial nerve) carries **preganglionic parasympathetic fibers** to the pterygopalatine ganglion, innervating the **lacrimal gland** and glands in the nasal and oral cavities. - It is not involved in the postganglionic innervation of the parotid gland.
Question 118: Lips do not drain into which group of lymph nodes?
- A. Submandibular nodes
- B. Preauricular parotid (Correct Answer)
- C. None of the options
- D. Submental nodes
Explanation: ***Preauricular parotid*** - Lymph from the lips primarily drains into the **submental**, **submandibular**, and **deep cervical lymph nodes** [1]. - **Preauricular parotid nodes** primarily drain the lateral surface of the auricle, external auditory canal, temporoparietal scalp, and lateral parts of the eyelids and cheek. - The lips do **NOT** drain into preauricular nodes. *Submandibular nodes* - The **lateral parts of the lower lip** and the **entire upper lip** drain into the submandibular lymph nodes [1]. - These nodes are a primary drainage pathway for the oral region. *Submental nodes* - The **central part of the lower lip** drains into the submental lymph nodes [1]. - These nodes lie between the anterior bellies of the digastric muscles beneath the chin. - They receive lymph from the central lower lip, floor of mouth, and tip of tongue. *None of the options* - This option is incorrect because there is a specific group of nodes listed that the lips do *not* drain into (preauricular parotid).
Obstetrics and Gynecology
1 questionsWhich of the following statements about fallopian tubes is incorrect?
NEET-PG 2015 - Obstetrics and Gynecology NEET-PG Practice Questions and MCQs
Question 111: Which of the following statements about fallopian tubes is incorrect?
- A. Lined by cuboidal epithelium (Correct Answer)
- B. Tubal ostium is the point where the tubal canal meets the peritoneal cavity
- C. Müllerian ducts develop in females into the Fallopian tubes
- D. Isthmus is the narrower part of the tube that links to the uterus
Explanation: ***Lined by cuboidal epithelium*** - The Fallopian tubes are lined by a **ciliated columnar epithelium**, not cuboidal epithelium, which aids in ovum transport. - This ciliated epithelium is critical for moving the ovum towards the uterus and for sperm transport. *Tubal ostium is the point where the tubal canal meets the peritoneal cavity* - The **tubal ostium** specifically refers to the opening of the **infundibulum** of the Fallopian tube into the **peritoneal cavity**, where it receives the ovum after ovulation. - This opening is surrounded by **fimbriae**, which are finger-like projections that help capture the ovum. *Müllerian ducts develop in females into the Fallopian tubes* - In females, the **Müllerian ducts (paramesonephric ducts)** differentiate to form the **Fallopian tubes**, uterus, cervix, and the upper two-thirds of the vagina. - This development is crucial for the formation of the female reproductive tract in the absence of Anti-Müllerian Hormone (AMH). *Isthmus is the narrower part of the tube that links to the uterus* - The **isthmus** is indeed the **narrower, muscular segment** of the Fallopian tube that connects directly to the **uterus**. - This region is characterized by its thick muscular wall and smaller lumen.
Psychiatry
1 questionsWhich of the following is considered a poor prognostic factor for schizophrenia?
NEET-PG 2015 - Psychiatry NEET-PG Practice Questions and MCQs
Question 111: Which of the following is considered a poor prognostic factor for schizophrenia?
- A. Poor premorbid adjustment (Correct Answer)
- B. Male sex
- C. Presence of depression
- D. Blunted affect
Explanation: **Poor premorbid adjustment** - **Poor premorbid adjustment**, indicated by difficulties in social, academic, or occupational functioning before the onset of psychosis, is a consistent predictor of a worse outcome in schizophrenia. - This suggests a more pervasive and entrenched neurodevelopmental vulnerability impacting the individual's ability to cope and integrate socially. *Blunted affect (negative symptom)* - While **blunted affect** is a negative symptom often associated with poorer outcomes than positive symptoms, it is typically considered a *symptom* of the illness rather than a primary prognostic *factor* like premorbid adjustment. - Its presence contributes to disability, but it is not as strong an independent prognostic indicator as the life trajectory prior to illness onset. *Male sex (generally poorer prognosis)* - **Male sex** is generally associated with an **earlier age of onset** and often a **more severe course** of schizophrenia. - However, compared to significant functional impairment before disease onset, it is not as strong an individual predictor of overall long-term prognosis. *Presence of depression (often associated with better outcomes)* - The **presence of depressive symptoms** in schizophrenia is often associated with a **better prognosis**. - This is because depressive features can sometimes indicate a more preserved capacity for emotional experience and insight, which can align with higher functioning.