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

DOWNLOAD HERE ALL PAST PAPERS

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	COLUMN B: STRUCTURE/ORIGINS
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.

COULMN A: PART OF BONE STRUCTURE	COULMN B: BONE
1___________Capitulum	A. Scapula
2___________Greater tubercle	B. Tarsal bones
3___________Glenoid cavity	C. Cranium
4___________Pisiformis	D. Head of humerus
5___________Cuboid	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

___________________________________________________________________________________