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Kerala University 2005 M.B.B.S physiology including Biophysics - Question Paper

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! 1 t 2 * 3)    K 517S

FIRST PROFESSIONAL MB.B.S. DEGREE EXAMINATION MARCH/APRIL 2005

PHYSIOLOGY including BIOPHYSICSPaper I

(New Scheme)

Time : Three Hours    Maximum : 50 Marks

Answer Sections A and B separately.

Draw diagrams wherever necessary.

Section A

I. Multiple Choice Questions (separate sheet attached)    (10 x V4 = 5 marks)

II.    (a) Dthw and label pahsic flow of blood through the coronary vessels.

(b) Compare a cortical and juxtamedullary nephron.

(2x3 = 6 marks)

III.    (a) Explain the reabsorption of glucose from renal tubules.

(b) Name the invitro antocoagulants. Briefly explain the action of any one of them.

(2x2 = 4 marks)

IV.    (a) Discuss the chemical control of respiration.

(b)    Name the enzymes present in pancreatic juice. How is pancreatic secretion regulated ?

(c)    How food is prevented from entering the respiratory passages while swallowing ?

(d)    What is PR interval ? What is its significance ?

(e)    How is body temperature regulated on exposure to cold environment ?

(6 x 2 = 10 marks)

Section B

V.    A 30 year old executive was brought to casuality following an accident. O/E HC had rapid thready pulse, respiratory rate 30/mt. systlolic BP 90 mm. of Hg. and cold pale skin.

1    What is this condition ?

2    What are the compensatory reactions occuring in this condition ?

3    What is the immediate management of this condition ?

(2 + 5 + 3 = 10 marks)

VI. Give the reasons for the following:

1    Dumping syndrome is seen after gastrectomy.

2    Alveoli are always kept dry.

3    Retoculocyte count is increased after Vitamin B12 therapy.

4    ODC (Oxygen Dissociation Curve) in infants is shifted to left.

5    Increased intracranial tension results in bradycardia and elevation of Blood Pressure.

(5 x 3 = 15 marks)

K 5178

PHYSIOLOGY including BIOPHYSICSPaper I

I. MULTIPLE CHOICE QUESTIONS

Note.(1) Do not write anything on the question paper.

(2)    Write your register number on the answer-sheet provided.

(3)    Select the appropriate answer and encircle the alphabet against each question in the answer-sheet provided.

1.    The hormonal stimulus which is more important in pancreatic enzyme secretion is :

(A) Secretion.    (B) Histamine.

(C) CCK-PZ.    (D) Motiline.

2.    Nitrogen wash out method measures :

(A) Residual volume.    (B) Inspiratory capacity.

(C) Functional residual capacity. (D) Dead space.

3.    Plateau phase of action potential of cardiac muscle is due to :

(A) Opening of sodium channels. (B) Opening of potassium channels.

(C) Opening of slow Ca channels. (D) Closing of sodium channels.

4.    Renal failure is characterised by the following except:

(A) High blood urea.    (B) High blood pH.

(C) Hyper kalemia.    (D) Decreased creatonine.

5.    Plasma cells are :

(A) Activated T cells.    (B) Activated B cells.

(C) Activated neutrophils.    . CD) Activated tissue macrophages.

6.    Spherocytosis can be caused due to abnormality of:

(A) Spectrin.    (B) Ankyrin.

(C) Band 3.    (D) All of the above.

7.    Partial pressure of Nitrogen is greatest in :

(A) Expired air.    (B) Tissues.

(C) Inspired air.    (D) Alveoli.

8.    A substance that is completely reabsorbed from kidney is :

(A) Sodium.    (B) Potassium.

(C) Glucose.    (D) Urea.

9. Carbohydrate in small gut is hydrolysed by the following enzymes except:

(A) Lactase.

(B)    Ptyalin.

(D)    Sucrose.

(B)    Arterioles.

(D)    Veins.


(C) Maltese.

10. The capacitance blood vessel include : (A) Large arteries.

(C) Capillaries.

(10 x Vi = 5 marks)







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