Past Papers | Anatomy And Physiology | Cmt Nta 4 | Clinical Medicine First Year

Past Papers | Anatomy And Physiology | Cmt Nta 4 | Clinical Medicine First Year

 1. Muscle tisuue is endowed with  some  special  function/ properties  that  enables  it to perform  its  duties.  These  properties  include  all except

A. Deviation  of the part of body

B. Excitability of the part of the body

C. Contractility of the part of the body

D. Elasticity  of the part of the body

E. Extensibility of the part of the body                                       


2.   “Heart  Pacemaker”  is where  electrical impulses  are generated  in

A.  Sinoartirial  node  (SAN)

B.  Atrioventricular  node  (AVN)

C.  Right  Bundle  Branch  (RBB)

D.  Left  Bundle  Branch    (LBB)

E.  Electrocardiogram                                                                  




3.  The most superficial  muscle  in the anterior  compartment of the thigh is  

A.   Sartorius

B.   Biceps  femoralis

C.   Vastus

D.   Semimbranous

E.   Gracillis                                                                                    


4. All  the following are muscles of  facial expression  except

A. Epicarrus   m.

B. Orbicularis  oculi  m.

C. Orbicularis  oris  m.

D. Buccinator   m.

E. Lateral  pterygoid  m                                                          


5.  The act  of mastication  involves  the  following   muscle

A. Orbicularis  oculi

B. Masseter  m.

C. Zygomaticus  m.

D. Sternous  capitis                                                           

E. Frontalis  muscle                                                                    


6. All  skeletal  joints are divided according to their

A. Functions and  structures

B. Physical properties

C. Movements in the skeleton

D. Fibrous, cartilagenous and synovial properties

E. Fixations  between two  bones                                               


 7. Term anatomical  direction  ‘caudal”  means

A. Towards the front

B. Below

C. Near, closer to the origin

 Towards the back, towards the tail     D

D. Above, over                                                                          


8. In  eukaryotes  protein is produced in

A. Ribosomes

B. Mitochondria

C. Cytoskeleton

D. lysosomes

E. Endoplasmic reticulum                                                            


9. Digestive enzymes are secreted in the  

A. Ribosomes

B. Lysosomes

C. Mitochondria

D. Cytoskeleton

E. Endoplasmic reticulum                                                           


10.  One  of the following is not a  connective  resident  cells

A. Fibroblast

B. Macrophages

C. Adipocytes

D. Lymphocytes

E. Mast  cells                                                                             


SECTION  B: TRUE/ FALSE  QUESTIONS                                         (10  s)

Write  the  word   TRUE  for correct statement  and   FALSE   for  incorrect statement in the blanks provided


1.The  following  muscles are involved  in the movement  of the head  and neck

A. _________Erector  spine  muscle

B. _________Semispinalis  muscle

C. _________Splenius   capitis  muscle

D. _________Sternocleidomastoid  muscle

E. _________Epicarnus  muscle


2. The following  muscles are  involved in the movement  of  Pectoral  Girdle

A. _________Trapezium  muscle

B. _________Levator   scapulari   muscle

C. _________Lateral   pterygoid  muscle

D. _________Pectoralis  major  muscle

E. _________Serratus  anterior   muscle



 3.  The respiratory  membrane  of the lung is very  thin and it consits of

A. ________ A thin layer of fluid lining  the alveoli

B. _________The  alveolar epithelium  which is composed of simple squamous epithilium

C. _________A thin interstitial  space

D. _________The  basement membrane of the capillary  endotholium

E. _________A capillary  endothelium  which is composed of simple squamous epithilium


4. Concerning  skeleton  joints

A. _________Hinge  joint  (uniaxial)  permits  flexion  and extension  only

B. _________Saddle  joint  (biaxial)  are  concave  and  convex  where  the bone articulate

C. _________Plane  joints  permit  gliding  or sliding  movement

D. _________Condyloid  joints  (biaxial) permits  flexion  and extension  only  

E. _________Pivot  joints  (uniaxial)  allow  extension and flexion  only


SECTION   C:   MATCHING  QUESTIONS                                        (10  s)


1. Match  the muscle  tissue in column  A   to its  corresponding  structure  of origins attachments  from column  B


COLUMN   A:  MUSCLE         


1.__________Flexor  pronator  muscle

A.  Muscle  belonging  to the  arm

2.__________Deltoid muscle

B.  Medial  compartment of  hand

3.__________Biceps   Branchi  muscle

C.  Muscle  belonging  to the  forearm

4.__________External  oblique  muscle

D.  Muscle  belonging to  scapulahumeral

5_ _____Semimembranus/Semitendonosis/  Biceps  femoraris

E.  Muscle of  the anterior compartment of thigh


F.  Muscle  of the  gluteal  area


G.  Muscle  of the  abdominal  wall


H.   Hamstring muscle



2.  Match  bones  from coulmn  B  to  its  corresponding  part  structure   in column A,  and  write the correct match  letter in blank  space  provided.





A.  Scapula

2___________Greater  tubercle

B.  Tarsal  bones

3___________Glenoid  cavity

C.   Cranium


D.   Head  of humerus


E.   Clavicle


F.   Head of  fibula


G.   Carpus


H.   Condyles  of  humerus




SECTION    E:  SHORT  ANSWER  QUESTIONS                        (40  s)

All  answers  must be  written within the  limits of   space  provide on each question.  Do not use extra  papers as it  will not be ed.


1.Mention  muscles that are used in chewing                                 (5 s)


a. _________________________________________________

b. _________________________________________________

c. _________________________________________________

d. _________________________________________________



2. Mention  three  function  of  body   muscle                                      (5  s)


a. _________________________________________________

b. _________________________________________________

c. _________________________________________________


3.  A  child  age  5 years male, is escorted  by his mothers with a arm sling made up of kanga on his right  shoulder.  He had fallen from a mango tree, there are bruises but no open cuts. He can not  rotate his shoulder. Identify  muscles that are likely affected.                                                                         (5  s)


a. ______________________________________________

b. ______________________________________________

c. ______________________________________________

d. ______________________________________________



4.  A  young  man  age 20 years ,  is a good football player and a sharp shooter.  He  was kicked hard on the dorsal aspect of his right thigh, it is swollen and tender.  Identify these muscles that are affected.                                   (5  s)


a. _______________________________________________

b. _______________________________________________

c. _______________________________________________



5.   A  man  age  40 year, healthy,  was  involved in a drunkard  fight  whereby he was severely stabbed on his  left chest. He  died  due to internal bleeding. Postmortem examination revealed that a knife penetrated his heart at the apex  and teared the caridiac  layers.  Identify the cardiac layers  that are affected which instantly killed this man.                                                             (5  s)

a. __________________________________________________

b. __________________________________________________

c. __________________________________________________

d. __________________________________________________

e. __________________________________________________



 6. Joshua is 5 years old boy, he got fracture  of the right hand  involving  small carpal bones.  Mention  the carpal  bones in the  hand                               (5  s)

a. _________________________________________________

b. _________________________________________________

c. _________________________________________________

d. _________________________________________________

e. _________________________________________________

f. _________________________________________________

g. _________________________________________________

h. _________________________________________________




7. Describe  Five  characteristics  of Synovial  Joint                              (5  s)

a. __________________________________________________

b. __________________________________________________

c. __________________________________________________

d. __________________________________________________

e. __________________________________________________


8.  In Masai Mara, people were  involved in spear, panga  fights  during  cattle theft.  Some of the people gut  cut wounds in the  abdomen involving the  muscles.  Mention these abdominal  muscles that  were  wounded.                             (5  s)


a. _________________________________________________

b. _________________________________________________

c. _________________________________________________

d. _________________________________________________

ESSAY  QUESTIONS                                                  (30  s)

Write  all answers  in separate    answering sheet  provided:


1.   Describe the  structure of the heart.                                             (10  s)


2.   An  man about  80 years old, lives alone. He looks  very weak and undernourished. His lower limbs bones are tender and thin.  Due to poor diet and loneliness, he lacks  the essential  vitamins and minerals for his bone formation. Explain bone formation (ossification) , and  bone marrow formation which this man is lacking.                                     (10  s)




3. You are  asked to give  presentation  on  breathing  mechanism  at a bedside teaching, after  examining a  female  patient  with tuberculosis. In order to accomplish your presentation you have to explain morphology of lungs. Explain lungs morphology and show  lungs breathing  details drawings to show what you mean to present.                                                                                         (10  


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