1.

Regarding Muscles all are true except

a. Deltoid is a multiple muscle

b. Dorsal interossei are multipennate
c. Cardiac muscle has striations
d. Parallel muscle fibers have great range of movement
e. Sartorius has parallel muscle fiber

2. Spinal nerves
a. Are formed in the intervertebral foramina
b. Distribution to the lower limb is through ventral rami
c. Supply the muscles and skin of posterior trunk through rami
d. Have dorsal and ventral rami with peripheral ganglion on the dorsal
e. All of above

3. Epimysium covers
a. Each muscle fibers
b. A bundle of muscle fibers
c. Whole of muscles
d. Tendons of muscles
e. Ligaments of joints

4. Low back pain has been now labelled as one of the public health problems because?
a. It is not considered as a disease but a constellation of symptoms
b. It is the leading cause of activity limitation and workdays lost per annum around the globe
c. It affects middle and old age people
d. It is more common in daily wage workers
e. It leads to multiple risk factors

5. The second layer of foot consists of

a. Quadratus plantae muscle and the four lumbricals
b. Quadratus plantae
c. Flexor digitorum brevis muscle
d. Peroneus layer
e. abductor digiti minimi

6. Muscles forms extensor expansion of toes

a. Extensor hood or dorsal digital expansion
b. The Extensor Hallucis Longus.
c. The Extensor Digitorum Longus (EDL)
d. The Extensor Digitorum Brevis
e. All of above

7. The strongest fibres of the ‘deltoid’ ligament in the ankle run from the tibial malleolus to
a. medial tubercle of the talus
b. the neck of the talus
c. the sustenaculum tali
d. the navicular bone
e. the medial cuneiform

8. The point at which an impulse is transmitted form one neuron to another is called
a. Dendrite
b. Glial cell
c. Nerve center
d. Synapse
e. Terminal plate
9. Regarding Joints all of the below statement are true except
a. In syndesmosis 2 bones are united by interosseous ligament
b. Symphyses is secondary cartilaginous joint
c. Synovial joints are partially movable joints
d. The joint between the tooth and its bony socket is called gomphosis

10. In Wilson’s disease, there is?

a. Defective excretion of chromium into the bile
b. Decrease in the serum copper level
c. Decrease urinary excretion of copper
d. Increase serum cobalt level
e. Increase urinary excretion of chromium

11. Medial Planter Nerve Supplies

a. abductor hallucis,
b. flexor hallucis brevis,
c. flexor digitorum brevis
d. the first lumbrical
e. All of above

12. The muscle which provides the most control of hip joint movement during the act of sitting is
a. Semitendinosis
b. semimembranosis
c. gluteus maximus
d. gluteus medius
e. iliacus

13. The medial compartment of the thigh

a. contains obturator internus
b. contains the adductor canal
c. contains the femoral triangle
d. is limited superiorly by the obturator membrane
e. is supplied mainly by the obturator artery

14. The quadratus plantae is a

a. A square muscle located deep to the flexor digitorum brevis muscle in the second layer at the sole of the foot
b. A rounded shape muscle located deep to the flexor digitorum brevis muscle in 1st layer at the sole of the foot
c. A rounded shape muscle located on top of the flexor digitorum brevis muscle.
d. A Triangular shape muscle located deep to the flexor digitorum brevis muscle in 1st layer at the sole of the foot
e. None of above

15. In skeletal muscle which of the following events occur before the depolarization of the T-tubules in the mechanism
of excitation contraction coupling?
a. Depolarization of sarcolemmal membrane
b. Opening of the Ca++ release channels on the Sarcoplasmic Reticulum
c. Uptake of Ca++ into the SR by Ca++ ATPase
d. Binding of ca++ to troponin C
e. Binding of Actin and Myosin

16. Excitation contraction coupling involves all the following except?

a. Release of Ca++ from troponin
b. Formation of cross bridges between actin and myosin
c. Spread of depolarization along the transverse tubules
d. Hydrolysis of ATP to ADP
e. Release of K+ ions
17. Which one of the following is not a fibrous joint
a. Symphysis
b. Sutures
c. Syndesmosis
d. Gomphosis
e. Interosseous

18. Which of the following causes rigor in skeletal muscles

a. Lack of action potentials in motor neurons
b. An increase in intracellular Ca++ level
c. A decrease in ATP level
d. A decrease in intracellular Ca++ level
e. An increase in ATP level
19. The flexor compartment of the thigh contains which of the following muscles?
a. gluteus maximus
b. adductor magnus
c. garacilis
d. semimembranosus
e. rectus femoris
20. Energy of muscle contraction is derived from the following except?
a. ATP
b. Muscle glycogen
c. Creatine phosphate
d. Glucose
e. Lactic acid

21. In skeletal muscle which of the following events occur before the depolarization of the T-tubules in the mechanism
of excitation contraction coupling?
a. Opening of the Ca++ release channels on the Sarcoplasmic Reticulum
b. Uptake of Ca++ into the SR by Ca++ ATPase
c. Depolarization of sarcolemmal membrane
d. Binding of ca++ to troponin
e. Binding of Actin and Myosin

22. The resting potential of a myelinated nerve fiber is primarily dependent on the concentration gradient of which of
the following ions?
a. Ca+
b. Cl–
c. HCO3–
d. K+
e. Na+

23. Standard amino acid which contains imino group is?

a. Lysine
b. Glycine
c. Arginine
d. Proline
e. Valinexylations

24. Mineral required for Polymerization of the pancreatic hormone, insulin is?
a. Copper
b. Chromium
c. Coblat
d. Zinc
e. Calcium
25. The normal range of ionized calcium in plasma is?

a. 2-4 mg/dl
b. 2-4 mEq/L
c. 4-5 mEq/L
d. 7-11 mg/dl
e. 4-5 mg/dl

26. Osteomyelitis is caused by?

a. Ameoba
b. Parasite
c. Virus
d. Chlamydomonas or any other algae
e. None of above

27. Which muscles acts on more than one joint

a. Popliteus
b. Vastus lateralis
c. Vastus medialis
d. Vastus intermedius
e. None of above

28. An adult male patient was undergoing an abdominal surgery in the operation theatre under general anesthesia.
The anesthetist administered him an injection of vecuronium (skeletal muscle relaxant) to
optimize the surgery. This drug relaxes skeletal muscle by blocking which of the receptors at the neuromuscular
junction?
a. Alpha-adrenergic
b. Beta-adrenergic
c. Muscurinic
d. Ryanodine
e. Nicotinic
29. Regarding the adductor canal
a. it contains the nerve to vastus intermedialis
b. contents leave by piercing adductor longus
c. the femoral artery is always between the saphenous nerve and femoral vein in the thigh
d. below the adductor hiatus, the canal is occupied by the saphenous nerve of the descending genicular nerve
e. at the adductor hiatus, the femoral vein is medial to the artery

30. The epiphysial growth plate in developing bone is formed by?

a. Elastic cartilage
b. Hyline cartilage
c. Fibrocartilage
d. Compact bone
e. Spongy bone

31. When energy reserves in a muscle are exhausted and Lactic acid is increased, the condition is called?
a. Tetanus
b. Treppe
c. Fatigue
d. An oxygen debt
e. Spasm
32. When energy reserves in a muscle are exhausted and Lactic acid is increased, the condition is called?
a. Tetanus
b. Treppe
c. Fatigue
d. An oxygen debt
e. Spasm

33. Which of the following nerves is closely related to the spiral groove of humerus bone?
a. Median nerve
b. Musculocutanous nerve
c. Axillary
d. Ulnar
e. Radial

34. 42 years old lady has increasing muscle weakness and diagnosed as a case of mysthenia gravis. She is treated with
acetylcholine esterase inhibitor neostigmine and reports improved muscle strength soon after starting treatment.
The most probable cause of this improvement may be
a. Decrease uptake of choline by presynaptic neurons
b. Increased number of nicotinic receptors at neuromuscular junction
c. Increased acetylcholine synthesis at nerve terminals
d. Decreased acetylcholine break down at neuromuscular junction
e. Increased frequency of action potentials in nerves

35. In the adult, the lower end of spinal cord lies at the level of lower border of the body of the
a. Second lumber vertebra
b. Third lumber vertebra
c. Fourth lumber vertebra
d. First lumber vertebra
e. Fifth lumber vertebra

36. Skeletal Muscles physiology

a. A highly organized tissue composed of bundles of muscle fibers called myofibers
b. An organized tissue composed of some muscle fibers called myofibers
c. A normal tissue composed of muscle fibers called myofibers
d. Muscle action potential smaller during tetanic contraction
e. None of above

37. The increase in total mass of muscle is called

a. Ischemia
b. Macules Fatigue
c. Muscles stress
d. Atrophy
e. None of above

38. Tibialis anterior

a. is supplied by the tibial nerve
b. inserts into the second metatarsal bone
c. is pierced by the posterior tibial artery
d. tendon perforates the superior extensor retinaculum
e. does not arise from the interosseous membrane
39. The muscle contractures develop due to
a. Inactivity and scarring from an injury or burn
b. Over use of muscles for longer period of time
c. Denervation atrophy of muscles fiber leading to replacement of muscle tissues by fibrous tissues
d. Increase in Ca+2 release from sarcoplasmic reticulum (SR)
e. Both A and C

40. In the popliteal fossa, the deepest of these structures is

a. popliteal vein
b. popliteal artery
c. tibial nerve
d. sural nerve
e. plantaris muscle

41. In Poliomyelitis
a. All nerve fiber to a muscle are destroyed
b. There is decrease in fine control of moment
c. There is a formation of micromotor units
d. A and C
e. A,B,C
42. Ach-estrase inactivating activity is possessed by
a. Neostigmine
b. Physostigmine
c. Diisopropyl fluorophosphate (DFP)
d. A and B
e. All of above

43. Adductor longus is inserted onto the

a. upper half of the linea aspera of the femur
b. upper two thirds of the linea aspera of the femur
c. upper one third of the linea aspera of the femur
d. lower two thirds of the linea aspera of the femur
e. lower half of the linea aspera of the femur

44. In the femoral triangle

a. the femoral nerve emerges from the femoral sheath
b. the saphenous nerve lies medial to the femoral artery at the apex
c. the genitofemoral nerve pierces the anterior surface of the femoral sheath
d. the profunda femoris artery arises from the medial aspect of the femoral artery
e. the obturator nerve passes anterior to pectineus

45. Fat superficial fascia is absent in

a. Face
b. Nose
c. Breast
d. Dorsom of hand
e. Scapular region
46. inversion and eversion of the foot take place MAINLY at the
a. ankle joint
b. joints between the talus and calcaneus
c. joint between calcaneus and navicular bone
d. calcanocuboid joint
e. inferior tibiofibular joint
47. A symphysis
a. Is primary cartilaginous joint
b. Does not allow any movement
c. Does allow some movement
d. Contains a fibrocartilage disc
e. Is usually located in limbs

48. Which of the following ellipsoid joints presents?

a. between the knuckle joints,
b. wrist joints,
c. metacarpophalangeal joints
d. and metatarsophalangeal joints of fingers.
e. All of above

49. Retinacula are thickening of

a. Dermis
b. Deep fascia
c. Superficial fascism
d. Capsule of joints
e. Tendon of muscles

50. In adults end arteries found in all of the following except

a. Retina
b. Brain
c. Joints
d. Kidneys
e. Liver
51. Regarding bones
a. Long bones have on epiphysis and two diaphysis
b. Intracartilagenous ossification is also called mesenchymal ossification
c. Pneumatic bones contain large fluid space
d. Sesamoid bones have no periosteum
e. Membranous bones ossify in cartilage

52. Which of the following is a type of synovial joint?

a. Ball and socket joint,
b. Pivot joint and
c. Hinge joint
d. Cartilaginous joint
e. A,B and C

53. The hip joint is

a. the Largest ball and socket joint in the body which remains stable during twisting and extreme ranges of motion.
b. the Medium ball and socket joint in the body which remains stable during twisting and extreme ranges of motion
c. The synovial joint in the body which remains stable during twisting and extreme ranges of motion
d. A and C
e. B an C

54. Hinge joint present in the

a. Elbow is a synovial joint surrounded by cartilage
b. Ankle and knee joints and can rotate up to 180 degrees maximum
c. Ankle and knee joints and can rotate up to 360 degrees maximum
d. Both A and B
e. A and C
55. Ref to label the diagram

56. Tuberculous osteomyelitis occurs most commonly in bones of the extremities, including the small bones of the
hands and feet including

a. Knee
b. Hip
c. Lung
d. Kidney
e. None of above

57. Which of the following statements of rickets is not true

a. It is usually genetic.
b. It leads to weak bones.
c. It leads to skeletal deformity.
d. It is prevented by vitamin D.
e. It is prevented by sunlight.

58. A 5 years old boy sees an insects an runaway, the post ganglionic fibre of his activated nervous system will release
the neuro – transmitter

a. GABA
b. Dopamine
c. Glutamate
d. Norepinephrine
e. None of Above

59. The adductor canal

a. Contains the femoral artery and nerve
b. Ends distally in the adductor longus hiatus
c. Contains no muscular nerves
d. Has adductor longus forming the root
e. Always has the femoral artery lying between the saphenous nerve and the femoral vein

60. The inferior gluteal nerve supplies

a. Gluteus maximus
b. Gluteus medius
c. Gluteus minimus
d. All of the above
e. None of the above