KUHS First Professional MBBS Degree Examination 104001 August 2013 PHYSIOLOGY – Paper II Question Paper

104001 August 2013 PHYSIOLOGY – Paper II

Q.P. Code: 104001 Reg. no.: …………………
First Professional MBBS Degree Examinations, August 2013
PHYSIOLOGY – Paper II
Time: 3 Hours Total Marks: 50
• Answer all questions
• Draw Diagrams wherever necessary
Long essay (10)1. A 50 years old patient of hypertension suddenly developed weakness of right upper and
lower extremities and difficulty is speaking following a brief episode of loss of
consciousness. On examination motor tone of his right extremities was found to be
increased. Answer the following questions based on your knowledge in physiology :
• What would an examination of power and deep tendon reflexes of the patient reveal
• What would examination of the plantar reflex of the patient most likely reveal
• Explain the physiological basis of the findings of deep tendon reflexes in this patient
• What is the most likely clinical diagnosis of his condition (2+2+5+1=10)Short essays (2×5 =10)2. Metabolic effects of insulin
3. Denervation hypersensitivity
Answer briefly (5×3=15)4. Accommodation reflex
5. Pituitary dwarfism
6. Parkinsonism
7. Features of cerebellar lesions
8. Ovarian cycle
Draw and label (2×2½=5)9. Length-tension relationship in skeletal muscle
10. Wald’s visual cycle – flow chart
Explain the physiological basis of the following (5×2=10)11. Patients with sensory ataxia lose balance on closing their eyes
12. Intra-uterine contraceptive devices prevent pregnancy
13. Diaphragmatic pain is felt at the tip of the shoulder
14. Patients of acromegaly may develop diabetes
15. Cardiac muscle cannot be tetanised
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