Based on my thorough analysis of the July 2026 RUHS paper, here is my predicted Marwar University Anatomy Paper 1 and Paper 2 - formatted exactly like the RUHS paper:
PREDICTED MARWAR UNIVERSITY
FIRST MBBS (New Scheme-2024)
HUMAN ANATOMY: Paper 1
Time: Three Hours | Maximum Marks: 100
Instructions: Attempt all questions
Q.1 Answer the following (20x1 = 20)
1) A 30-year-old man falls on an outstretched hand. X-ray shows a fracture in the floor of the anatomical snuffbox. Which bone is most likely fractured?
- A. Trapezium
- B. Lunate
- C. Scaphoid ✓
- D. Capitate
2) A patient presents with inability to abduct the arm beyond 15 degrees after a shoulder surgery. Which nerve is most likely injured?
- A. Radial nerve
- B. Suprascapular nerve ✓
- C. Axillary nerve
- D. Long thoracic nerve
3) A 40-year-old carpenter presents with wasting of thenar muscles and loss of sensation over the lateral 3½ fingers. Which nerve is compressed?
- A. Median nerve at wrist ✓
- B. Ulnar nerve at elbow
- C. Radial nerve at spiral groove
- D. Median nerve at elbow
4) A patient cannot extend the wrist and fingers after fracture of shaft of humerus. Which nerve is injured?
- A. Musculocutaneous nerve
- B. Ulnar nerve
- C. Radial nerve ✓
- D. Median nerve
5) A 25-year-old woman presents with ptosis, miosis and anhidrosis on the left side. Which structure is most likely damaged?
- A. Facial nerve
- B. Sympathetic chain (Horner's syndrome) ✓
- C. Oculomotor nerve
- D. Abducens nerve
6) A cricket player is hit on the side of the head. CT shows fracture of the temporal bone with extradural hematoma. Which artery is most likely ruptured?
- A. Anterior cerebral artery
- B. Middle meningeal artery ✓
- C. Posterior cerebral artery
- D. Basilar artery
7) A patient presents with inability to close the eye, deviation of angle of mouth to opposite side, and loss of taste over anterior 2/3 of tongue. Where is the lesion of facial nerve?
- A. At stylomastoid foramen
- B. In the parotid gland
- C. At the geniculate ganglion ✓
- D. In the internal auditory meatus
8) A patient cannot perform "pen-pinching" (paper test positive). Which nerve is damaged?
- A. Radial nerve
- B. Anterior interosseous nerve (median nerve branch) ✓
- C. Ulnar nerve
- D. Musculocutaneous nerve
9) On CT scan a patient shows lesion in Broca's area. Which Brodmann areas are involved?
- A. 41 & 42
- B. 22
- C. 44 & 45 ✓
- D. 17 & 18
10) A neonate is found to have low-set ears, cleft palate and micrognathia. Which pharyngeal arch is affected?
- A. 2nd arch
- B. 1st arch ✓
- C. 3rd arch
- D. 4th arch
11) A 35-year-old man presents with claw hand involving all four fingers after a laceration at the wrist. Which nerve is damaged?
- A. Median nerve alone
- B. Radial nerve alone
- C. Ulnar nerve ✓
- D. Both median and ulnar nerves
12) Which of the following passes through the quadrangular space?
- A. Suprascapular nerve and artery
- B. Axillary nerve and posterior circumflex humeral artery ✓
- C. Radial nerve and profunda brachii artery
- D. Long thoracic nerve
13) A patient presents with "winged scapula" after a radical mastectomy. Which nerve is damaged?
- A. Spinal accessory nerve
- B. Long thoracic nerve ✓
- C. Suprascapular nerve
- D. Thoracodorsal nerve
14) A 50-year-old hypertensive patient has a sudden onset of contralateral hemiplegia, hemisensory loss and ipsilateral 3rd nerve palsy. Which structure is affected?
- A. Internal capsule only
- B. Midbrain (Weber's syndrome) ✓
- C. Pons
- D. Medulla
15) Which of the following muscles is NOT supplied by the ulnar nerve?
- A. Flexor carpi ulnaris
- B. Adductor pollicis
- C. All palmar interossei
- D. Flexor pollicis brevis (superficial head - median nerve) ✓
16) A patient cannot perform lateral rotation of the eyeball. Which cranial nerve is most likely paralysed?
- A. III
- B. IV
- C. VI ✓
- D. V
17) The pterion is a clinically important area because:
- A. It overlies the superior sagittal sinus
- B. It overlies the anterior branch of middle meningeal artery ✓
- C. It is the thickest part of the skull
- D. It overlies the Broca's area
18) Which of the following is NOT a content of the carotid sheath?
- A. Internal carotid artery
- B. Internal jugular vein
- C. Vagus nerve
- D. Sympathetic chain ✓
19) Which of the following muscles of the hand is supplied by the median nerve?
- A. All lumbricals
- B. All dorsal interossei
- C. First and second lumbricals ✓
- D. Adductor pollicis
20) A 22-year-old presents with loss of flexion and supination of forearm after anterior dislocation of shoulder joint. Which nerve is likely injured?
- A. Axillary nerve
- B. Musculocutaneous nerve ✓
- C. Median nerve
- D. Radial nerve
Q.2 Long Essay Question (Structured) (3+3+4 = 10)
Describe the PAROTID GLAND under the following headings:
- (A) Boundaries and relations
- (B) Contents of the parotid gland
- (C) Nerve supply, duct, and applied anatomy
Q.3 Explain Why: (5x3 = 15)
a) Wrist drop occurs after fracture of the shaft of the humerus.
b) The elbow joint is more stable in flexion than in extension.
c) Mandibular nerve block causes loss of sensation in the lower lip but the chin remains unaffected.
d) The danger area of the face has clinical significance in infections.
e) The dislocation of the shoulder joint occurs most commonly in the antero-inferior direction.
Q.4 Write short notes on: (4x5 = 20)
a) Brachial plexus - formation and branches
b) Carpal tunnel and its contents
c) Anatomical snuffbox
d) Subclavian artery and its branches
Q.5 Write short notes on: (3x5 = 15)
a) Facial nerve - intracranial and intratemporal course
b) Cavernous sinus
c) Median nerve in the forearm and hand
Q.6 Write short notes on: (4x5 = 20)
a) Pterion
b) Rotator cuff muscles
c) Ventricular system and CSF circulation
d) Elbow joint
PREDICTED MARWAR UNIVERSITY
FIRST MBBS (New Scheme-2024)
HUMAN ANATOMY: Paper 2
Time: Three Hours | Maximum Marks: 100
Instructions: Attempt all questions
Q.1 Answer the following (20x1 = 20)
1) During cholecystectomy, the cystic artery is ligated in Calot's triangle. Which of the following forms the boundaries of Calot's triangle?
- A. Common bile duct, hepatic artery, liver
- B. Common hepatic duct, cystic duct, liver ✓
- C. Portal vein, hepatic duct, liver
- D. Cystic duct, portal vein, hepatic artery
2) A patient with posterior dislocation of the right hip joint complains of loss of sensation over the posterior thigh and inability to dorsiflex and evert the foot. Which nerve is injured?
- A. Femoral nerve
- B. Obturator nerve
- C. Sciatic nerve ✓
- D. Common peroneal nerve
3) A 28-year-old man presents with a hernia that descends into the scrotum. It lies medial to the inferior epigastric artery. This hernia is:
- A. Indirect inguinal hernia ✓
- B. Direct inguinal hernia
- C. Femoral hernia
- D. Obturator hernia
4) An elderly woman presents with a lump in the femoral triangle below and lateral to the pubic tubercle. Which hernia is most likely?
- A. Indirect inguinal
- B. Direct inguinal
- C. Femoral hernia ✓
- D. Obturator hernia
5) During a left colectomy, a ureter is accidentally ligated. At which point is the ureter most vulnerable to surgical injury?
- A. At the pelvic brim
- B. Where it crosses the uterine artery ("water under the bridge") ✓
- C. At the ureterovesical junction
- D. At the renal pelvis
6) A footballer is tackled and injures the medial side of his knee. He has positive McMurray test and medial joint tenderness. Which structure is most likely torn?
- A. Lateral meniscus
- B. Medial meniscus ✓
- C. Posterior cruciate ligament
- D. Lateral collateral ligament
7) A patient presents with a positive Trendelenburg sign (pelvis dips on the opposite side when standing on one leg). Which nerve/muscle is affected?
- A. Inferior gluteal nerve and gluteus maximus
- B. Superior gluteal nerve and gluteus medius ✓
- C. Sciatic nerve and hamstrings
- D. Femoral nerve and quadriceps
8) A patient develops foot drop after being placed in lithotomy position for 3 hours. The nerve most likely compressed is:
- A. Tibial nerve
- B. Sciatic nerve
- C. Common peroneal nerve at neck of fibula ✓
- D. Saphenous nerve
9) A patient with carcinoma of the right lung presents with pleural effusion. Through which intercostal space is a needle inserted for thoracocentesis in the midaxillary line?
- A. 2nd intercostal space
- B. 4th intercostal space
- C. 8th intercostal space ✓
- D. 10th intercostal space
10) A 50-year-old man with substernal chest pain radiating to the left arm is brought to the ER. ECG shows ST elevation in leads II, III and aVF. Which coronary artery is occluded?
- A. Left anterior descending artery
- B. Left circumflex artery
- C. Right coronary artery ✓
- D. Left main coronary artery
11) The surgical landmark for the second part of the duodenum is:
- A. Transpyloric plane
- B. The hilum of the right kidney ✓
- C. The head of the pancreas alone
- D. The celiac trunk
12) Which of the following correctly describes the relations of the left kidney?
- A. Duodenum lies anteriorly
- B. Spleen and tail of pancreas lie anteriorly ✓
- C. Hepatic flexure lies anteriorly
- D. Gallbladder lies posteriorly
13) A newborn has tracheoesophageal fistula with esophageal atresia. The most common type involves:
- A. Pure esophageal atresia without fistula
- B. Proximal atresia with distal TEF ✓
- C. H-type fistula without atresia
- D. Both ends connected to trachea
14) A 4-year-old child is found to have features of Down syndrome. The karyotype is 47 chromosomes. The extra chromosome belongs to:
- A. Chromosome 18
- B. Chromosome 21 ✓
- C. Chromosome 13
- D. Chromosome 22
15) The lymphatic drainage of the testis is to:
- A. Superficial inguinal nodes
- B. Para-aortic (lumbar) lymph nodes at L1 ✓
- C. Deep inguinal nodes
- D. External iliac nodes
16) Which of the following is a derivative of the midgut?
- A. Oesophagus
- B. Appendix and cecum ✓
- C. Sigmoid colon
- D. Descending colon
17) Portosystemic anastomosis does NOT occur at:
- A. Lower end of oesophagus
- B. Splenic hilum ✓
- C. Umbilicus
- D. Lower end of anal canal
18) Which ligament prevents anterior translation of tibia on femur?
- A. Anterior cruciate ligament ✓
- B. Posterior cruciate ligament
- C. Medial collateral ligament
- D. Lateral collateral ligament
19) The processus vaginalis is a derivative of:
- A. Mesonephric duct
- B. Peritoneum ✓
- C. Paramesonephric duct
- D. Urogenital sinus
20) A radiograph of the chest of a neonate shows the stomach in the left side of the thorax. This is due to:
- A. Pulmonary sequestration
- B. Congenital diaphragmatic hernia (Bochdalek) ✓
- C. Eventration of diaphragm
- D. Hiatus hernia
Q.2 Long Essay Question (Structured) (4+3+3 = 10)
Describe the STOMACH under the following headings:
- (a) Interior and mucosal features
- (b) Blood supply and lymphatic drainage
- (c) Applied anatomy (including gastric ulcer sites and referred pain)
Q.3 Explain Why: (5x3 = 15)
a) Portal hypertension causes haematemesis (bleeding from oesophageal varices).
b) Inguinal hernia is more common in males than females.
c) The right kidney is slightly lower than the left kidney.
d) Superior gluteal nerve injury causes Trendelenburg gait.
e) Varicocele is more common on the left side.
Q.4 Write short notes on: (4x5 = 20)
a) Right coronary artery - course, branches and area of supply
b) Inguinal canal - boundaries and contents
c) Diaphragm - openings and structures passing through them
d) Microscopic anatomy of the small intestine (jejunum)
Q.5 Write short notes on: (3x5 = 15)
a) Femoral triangle - boundaries, contents and applied anatomy
b) Popliteal fossa
c) Posterior mediastinum
Q.6 Write short notes on: (4x5 = 20)
a) Development of the heart (formation of cardiac chambers)
b) Lymphatic drainage of the breast
c) Ureter - course, relations and applied anatomy
d) Placenta - structure and functions
HOW TO USE THIS PREDICTION
For MCQs: Every single MCQ above is built around a clinical scenario - exactly like the RUHS pattern. Practice by covering the answer and working through the clinical stem.
For Essays/Short Notes: The answers to write should follow this structure:
- Definition / Introduction (2-3 lines)
- Anatomy (bulk of the answer with a labelled diagram)
- Applied / Clinical significance (last paragraph - examiners love this)
For "Explain Why": Each answer needs: the anatomical reason (1 sentence), the mechanism (2-3 sentences), the clinical consequence (1 sentence). Keep it to 8-10 lines.
Priority study order for Paper 1: Brachial plexus → Facial nerve → Parotid gland → Carpal tunnel → Internal capsule → Cavernous sinus
Priority study order for Paper 2: Stomach/Liver → Right coronary artery → Inguinal canal → Diaphragm → Femoral triangle → Developmental embryology (heart, kidney, gut)
Good luck with your examination!