RGUHS 1st MBBS Anatomy Paper 2: Systemic Histology
Systemic histology carries about 11 marks in Paper 2, so revise it smartly, but do not sacrifice
abdomen (28 marks), pelvis (20), and lower limb (17). The current RGUHS blueprint also notes that system-wise marks are indicative and can vary, while the last 10 questions are case-based MCQs worth 20 marks. See the
RGUHS Paper II blueprint.
Highest-yield topics: do these first
1. GIT and accessory glands
Most important because of overlap with abdomen.
- Esophagus
- Stomach: fundus/body, pylorus, gastric glands and cell types
- Duodenum: Brunner glands
- Jejunum vs ileum: villi and Peyer patches
- Colon: no villi, numerous goblet cells, straight crypts
- Appendix: lymphoid follicles
- Liver: classical hepatic lobule, portal triad, sinusoids, Kupffer cells
- Gallbladder
- Pancreas: serous acini and islets of Langerhans
Very frequent distinction questions
- Duodenum vs jejunum vs ileum
- Colon vs appendix
- Liver vs pancreas
- Fundic vs pyloric stomach
2. Urinary system
- Kidney and renal corpuscle
- Glomerular filtration barrier
- PCT vs DCT
- Loop of Henle and collecting ducts
- Ureter
- Urinary bladder
Identification points
- PCT: narrow/irregular lumen, eosinophilic cells, brush border.
- DCT: wider clearer lumen, no brush border.
- Ureter: transitional epithelium, folded mucosa, stellate lumen, thick muscle.
3. Male reproductive system
- Testis and seminiferous tubules
- Stages/cells of spermatogenesis
- Sertoli and Leydig cells
- Epididymis
- Vas deferens
- Prostate
- Seminal vesicle
Slides to identify
- Testis: multiple seminiferous tubules with developing germ cells.
- Epididymis: pseudostratified columnar epithelium with stereocilia, sperm in lumen.
- Vas deferens: very thick muscular wall and irregular lumen.
- Prostate: tubuloalveolar glands, corpora amylacea.
4. Female reproductive system
- Ovary: primordial, primary, secondary, Graafian follicles; corpus luteum
- Uterine tube
- Uterus: proliferative vs secretory phase
- Cervix
- Mammary gland, resting and lactating
Very important comparison
- Proliferative endometrium: straight tubular glands, dense stroma.
- Secretory endometrium: tortuous saw-toothed glands, secretory material, edematous stroma.
5. Endocrine glands
- Pituitary gland: anterior vs posterior lobe and cell types
- Thyroid
- Parathyroid
- Adrenal gland: cortex zones and medulla
- Islets of Langerhans
Must-write points
- Thyroid: colloid-filled follicles lined by simple cuboidal epithelium.
- Parathyroid: chief cells, oxyphil cells, no follicles.
- Adrenal cortex: zona glomerulosa, fasciculata, reticularis.
- Pituitary: acidophils, basophils, chromophobes in anterior pituitary.
6. Lymphoid organs
- Lymph node
- Spleen
- Thymus
- Tonsil
Most important differences
- Lymph node: cortex, paracortex, medulla, subcapsular sinus.
- Spleen: white pulp around central arteriole and red pulp with sinusoids.
- Thymus: lobules, dark cortex, pale medulla, Hassall corpuscles.
7. Respiratory system
- Trachea
- Bronchus vs bronchiole
- Lung and alveoli
- Blood-air barrier
Key differences
- Bronchus: cartilage plates and glands present.
- Bronchiole: no cartilage and no submucosal glands.
- Alveoli: type I pneumocytes, type II pneumocytes, alveolar macrophages.
8. Cardiovascular system
Lower priority but read once.
- Elastic artery vs muscular artery
- Arteriole
- Vein
- Capillary types
- Heart wall and Purkinje fibers
One-night revision order
- Liver, pancreas, stomach, small intestine, colon, appendix
- Kidney, PCT/DCT, ureter, urinary bladder
- Testis, epididymis, ovary, uterus
- Thyroid, adrenal, pituitary, parathyroid
- Lymph node, spleen, thymus
- Trachea, bronchus/bronchiole, lung
- Blood vessels and heart
How to answer a histology question
For any “describe histology of…” answer, use this order:
- Covering/capsule
- Stroma or supporting tissue
- Parenchyma
- Characteristic cells/structures
- Function
- Neat labeled diagram
For a slide-identification question:
“This is a section of ___ because it shows:
-
-
-
- ___.”
Write at least 3 diagnostic features, not vague statements.
Must-practice diagrams
- Hepatic lobule with portal triad
- Renal corpuscle and PCT/DCT
- Seminiferous tubule
- Ovary with Graafian follicle
- Uterus in secretory phase
- Thyroid follicle
- Adrenal gland zones
- Lymph node
- Spleen
- Trachea / bronchus / bronchiole
Final warning
For Paper 2, systemic histology is a scoring short section, but abdomen, pelvis, and lower limb must remain your main priority. Use systemic histology for quick, clean marks by mastering slide features, comparisons, and diagrams rather than reading every microscopic detail.