Renal papilla opens into -
In walking, gravity tends to tilt pelvis and trunk to the unsupported side, the major factor in preventing this unwanted movement is?
Cricoid cartilage lies at which vertebral level?
Which of the following statements provides the MOST COMPLETE description of sclerotome function during vertebral development?
Which statement accurately describes a characteristic of synovial joints?
Ovarian fossa is formed by all except?
Which structure(s) passes behind the inguinal ligament:
Azygos vein drains into:
Right ovarian artery is a branch of ?
Development of labia majora is from -
NEET-PG 2012 - Anatomy NEET-PG Practice Questions and MCQs
Question 21: Renal papilla opens into -
- A. Cortex
- B. Pyramid
- C. Minor calyx (Correct Answer)
- D. Major calyx
Explanation: ***Minor calyx*** - The **renal papilla** is the apex of the renal pyramid, which drains urine directly into a **minor calyx**. - Minor calyces then merge to form major calyces, eventually leading to the renal pelvis. *Cortex* - The **renal cortex** is the outer layer of the kidney, containing glomeruli and convoluted tubules, and does not directly receive urine from the papilla. - Urine is primarily formed and filtered in the cortex and then flows into the medulla. *Pyramid* - A **renal pyramid** is a conical structure within the renal medulla, and the renal papilla is its tip, but it doesn't open *into* the pyramid itself. - Instead, the pyramid *contains* the structures that contribute to the papilla. *Major calyx* - A **major calyx** is formed by the convergence of several minor calyces. - The renal papilla drains into the minor calyx, which then, in turn, drains into the major calyx.
Question 22: In walking, gravity tends to tilt pelvis and trunk to the unsupported side, the major factor in preventing this unwanted movement is?
- A. Adductor muscles
- B. Quadriceps
- C. Gluteus medius and minimus (Correct Answer)
- D. Gluteus maximus
Explanation: ***Gluteus medius and minimus*** - The **gluteus medius** and **gluteus minimus** are essential **abductors** of the hip, primarily responsible for stabilizing the pelvis during the **single-limb support phase of gait**. - When one leg is lifted during walking, these muscles on the **stance leg side** contract to prevent the pelvis from tilting downwards on the unsupported swing leg side. *Adductor muscles* - **Adductor muscles** (adductor longus, brevis, magnus, pectineus, gracilis) primarily function to bring the thigh toward the midline of the body. - While they play a role in gait stability, their main action is not to prevent the lateral pelvic tilt described. *Quadriceps* - The quadriceps femoris group (rectus femoris, vastus lateralis, medialis, intermedius) are powerful **extensors of the knee**. - They are crucial for weight acceptance and propulsion during walking but do not directly prevent lateral pelvic tilt [1]. *Gluteus maximus* - The **gluteus maximus** is the largest and most powerful muscle of the hip, primarily responsible for **hip extension** and **external rotation**. - It is crucial for activities like climbing stairs or running, but its main role in normal walking is not to prevent lateral pelvic tilt; that function is more specific to the gluteus medius and minimus.
Question 23: Cricoid cartilage lies at which vertebral level?
- A. C3
- B. C6 (Correct Answer)
- C. T1
- D. T4
Explanation: **C6** - The **cricoid cartilage** is an important anatomical landmark, as it signifies the transition from the **laryngopharynx** to the **esophagus** and the start of the **trachea**. - Its location at **C6 vertebral level** is significant for procedures like tracheostomy and in identifying the narrowest part of the adult airway. *C3* - The C3 vertebral level is typically associated with the **hyoid bone**, which is superior to the cricoid cartilage. - The **epiglottis** and the superior aspect of the larynx are more commonly found at C3-C4. *T1* - The T1 vertebral level is in the **thoracic spine**, well below the neck, and is associated with the **apex of the lung** and the **first rib**. - The airway structures at this level are primarily the **trachea** as it enters the thorax. *T4* - The T4 vertebral level is significant as it marks the approximate location of the **carina**, where the trachea bifurcates into the main bronchi. - This level is much lower than the larynx and cricoid cartilage.
Question 24: Which of the following statements provides the MOST COMPLETE description of sclerotome function during vertebral development?
- A. The notochord forms the nucleus pulposus.
- B. The sclerotome contributes to the formation of vertebral bodies.
- C. The sclerotome surrounds the notochord and the neural tube during development. (Correct Answer)
- D. The sclerotome surrounds the notochord.
Explanation: ***The sclerotome surrounds the notochord and the neural tube during development.*** - The **sclerotome** is the part of the somite that differentiates into mesenchymal cells and migrates to surround both the developing **notochord** (which gives rise to the nucleus pulposus) and the **neural tube** (which forms the spinal cord). - This encirclement is crucial for the formation of the **vertebral column**, providing protection and a structural framework. *The notochord forms the nucleus pulposus.* - While true that the **notochord** contributes to the **nucleus pulposus**, this statement describes the fate of the notochord itself, not the function of the sclerotome. - The question asks for the function of the sclerotome, and this option only details one specific derivative. *The sclerotome contributes to the formation of vertebral bodies.* - This statement is partially true, as the **sclerotome** does indeed form the **vertebral bodies**, arches, and intervertebral discs. - However, it is not the *most complete* description of its function during development, as it omits the crucial aspect of surrounding the neural tube. *The sclerotome surrounds the notochord.* - This statement is correct but **incomplete** as it only mentions the notochord. - The **sclerotome** also surrounds the **neural tube**, which is a vital part of its developmental role in forming the vertebral canal.
Question 25: Which statement accurately describes a characteristic of synovial joints?
- A. Hyaline cartilage covers the articular surfaces of synovial joints. (Correct Answer)
- B. The metacarpo-phalangeal joint is a condyloid joint.
- C. Cartilage can sometimes divide the joint into two cavities.
- D. Stability is inversely proportional to mobility in synovial joints.
Explanation: ***Hyaline cartilage covers the articular surfaces of synovial joints.*** - The articular surfaces of bones within a **synovial joint** are covered by a thin layer of **hyaline cartilage**, providing a smooth, low-friction surface for movement [1]. - This **articular cartilage** absorbs shock and protects the underlying bone from wear and tear [1]. - This is a **universal structural characteristic** of all synovial joints, making it the most accurate answer. *The metacarpo-phalangeal joint is a condyloid joint.* - While this statement is factually true (MCP joints are indeed **condyloid/ellipsoid joints** allowing movement in two planes), it describes a **specific type** of synovial joint, not a general characteristic of all synovial joints. - The question asks for a characteristic that describes synovial joints as a category, not an example of one specific joint classification. - This makes it incorrect as the best answer to this question. *Cartilage can sometimes divide the joint into two cavities.* - This statement refers to an **articular disc** or **meniscus**, which is a fibrocartilaginous structure that can partially or completely divide a synovial joint cavity. - This feature is present in **some** synovial joints (like the knee or temporomandibular joint) but is **not universal**. - Since it's not a characteristic of all synovial joints, it's not the best answer. *Stability is inversely proportional to mobility in synovial joints.* - Generally, there is an **inverse relationship** between **stability** and **mobility** in joints; joints designed for great mobility (e.g., shoulder) tend to be less stable, and vice-versa (e.g., hip). - However, this describes a **functional principle** or trade-off rather than a **structural characteristic** that defines synovial joints. - While true, it's not the defining characteristic being asked for in this question.
Question 26: Ovarian fossa is formed by all except?
- A. Internal iliac artery
- B. Ureter
- C. Obliterated umbilical artery
- D. Round ligament of ovary (Correct Answer)
Explanation: ***Round ligament of ovary*** - The **round ligament of ovary** (ovarian ligament) connects the ovary to the lateral wall of the uterus and does NOT form any boundary of the ovarian fossa [1]. - It lies medial to the ovary and is not involved in forming the depression of the ovarian fossa [1]. - This ligament anchors the ovary but is separate from the peritoneal boundaries defining the fossa [1]. *Obliterated umbilical artery* - The **obliterated umbilical artery** (medial umbilical ligament) forms the **anterior boundary** of the ovarian fossa [2]. - This is a key anatomical landmark running along the lateral pelvic wall anterior to the ovary [2]. *Internal iliac artery* - The **internal iliac artery** forms the **posterior boundary** of the ovarian fossa [2]. - It lies on the lateral pelvic wall, deep and posterior to the ovarian fossa [2]. - This is one of the main structures defining the fossa's posterior limit [2]. *Ureter* - The **ureter** runs along the lateral pelvic wall and forms part of the **posterior/floor boundary** of the ovarian fossa [2]. - It passes posteroinferior to the ovary, contributing to the fossa's posterior limits [2].
Question 27: Which structure(s) passes behind the inguinal ligament:
- A. Femoral branch of genitofemoral nerve
- B. Femoral vein
- C. Psoas major
- D. All of the options (Correct Answer)
Explanation: ***Correct: All of the options*** All three structures pass deep to (behind) the inguinal ligament as they transition from the pelvis/abdomen into the thigh [1]. The inguinal ligament forms the superior border of the femoral triangle [1]. ***Femoral branch of genitofemoral nerve (Correct)*** - Pierces the **psoas major** muscle and descends along its anterior surface - Passes through the **lacuna musculorum** (lateral compartment) deep to the inguinal ligament - Lies **lateral to the femoral artery** - Provides sensory innervation to the skin over the femoral triangle ***Femoral vein (Correct)*** - Continuation of the popliteal vein from the lower limb - Passes through the **lacuna vasorum** (medial compartment/femoral canal) within the **femoral sheath** - Located **medial to the femoral artery** behind the inguinal ligament [1] - Carries deoxygenated blood back to the heart via the external iliac vein ***Psoas major (Correct)*** - Major hip flexor muscle originating from lumbar vertebrae (T12-L5) - Passes through the **lacuna musculorum** deep to the inguinal ligament - Located **lateral to the femoral vessels** - Combines with iliacus to form iliopsoas, inserting on the lesser trochanter of femur
Question 28: Azygos vein drains into:
- A. Left brachiocephalic vein
- B. Inferior vena cava
- C. Superior vena cava (Correct Answer)
- D. Right brachiocephalic vein
Explanation: Wait, what? Azygos vein drains into: ***Superior vena cava*** - The **azygos vein** ascends along the right side of the vertebral column and typically arches over the root of the right lung before draining into the **superior vena cava (SVC)**. - This anatomical arrangement allows the azygos system to collect venous blood from the posterior thoracic and abdominal walls, as well as the bronchi and esophagus, ultimately returning it to the systemic circulation via the SVC [1]. *Left brachiocephalic vein* - The **left brachiocephalic vein** drains blood from the upper left limb and left side of the head and neck. - It merges with the right brachiocephalic vein to form the SVC; the azygos vein does not directly drain into it. *Inferior vena cava* - The **inferior vena cava (IVC)** collects deoxygenated blood from the lower body. - The azygos system primarily drains structures above the diaphragm, distinct from the IVC's drainage area. *Right brachiocephalic vein* - The **right brachiocephalic vein** drains blood from the upper right limb and right side of the head and neck. - While it contributes to the formation of the SVC, the azygos vein's direct connection is to the SVC itself, not the right brachiocephalic vein.
Question 29: Right ovarian artery is a branch of ?
- A. Abdominal aorta (Correct Answer)
- B. Right internal iliac
- C. Common iliac
- D. External iliac
Explanation: ***Abdominal aorta*** - The **right ovarian artery** typically originates directly from the **abdominal aorta**, just inferior to the renal arteries [1]. - This is a direct branch, supplying blood to the **right ovary**, **fallopian tube**, and surrounding structures [1]. *Right internal iliac* - The **internal iliac artery** primarily supplies the **pelvic organs**, gluteal region, and medial thigh [1]. - While it has branches to pelvic structures, the ovarian artery does not originate from it. *Common iliac* - The **common iliac artery** bifurcates into the **internal and external iliac arteries** at the level of the sacroiliac joint. - It does not directly give off the ovarian artery. *External iliac* - The **external iliac artery** continues as the **femoral artery** below the inguinal ligament, primarily supplying the lower limb. - It does not give off branches to the ovary.
Question 30: Development of labia majora is from -
- A. Urogenital sinus
- B. Mullerian duct
- C. Genital ridge
- D. Genital swelling (Correct Answer)
Explanation: ***Genital swelling*** - The **labia majora** develop from the **genital (labioscrotal) swellings** in females, which are homologous to the scrotum in males [3]. - These swellings enlarge and fuse anteriorly to form the mons pubis and posteriorly to form the posterior commissures of the labia majora. *Urogenital sinus* - The **urogenital sinus** gives rise to structures like the **bladder**, **urethra**, and parts of the **vagina** in females [2]. - It does not contribute to the formation of the external labial structures. *Mullerian duct* - The **Mullerian (paramesonephric) ducts** develop into the **fallopian tubes**, **uterus**, and the **upper third of the vagina** [1], [2]. - These structures are internal reproductive organs and do not form external genitalia like the labia majora. *Genital ridge* - The **genital ridge** is the embryonic precursor to the **gonads** (ovaries or testes). - It differentiates into either ovaries or testes and does not directly form external genital structures.