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Biochem prv 15yrs @Medi Circle
Biochem prv 15yrs @Medi Circle
Biochem prv 15yrs @Medi Circle
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MultipleChoiceQuestions: 10 x 1-10
1. Peptidebond is
a) Singlebondin character b) Doublebondin character
c) Partialdoublebond in character d) Triplebond in character
2. Duringurea cycle, the twonitrogenatomsare derivedfrom
a) Ammoniaand Arginine b) AmmoniaandAsparticacid
c) BothfromAmmonia d) Ammoniaand Ornithine
3. The sourcesOfoxalicacidin urineare
a) Ornithineand citrulline b) Oxalosuecinateand formicacid
c) Oxaloacetateand asparticacid d) Ascorbicacidand Glycine
4. Elevatedhomoeysteinelevels are associatedwith a risk of
a) Bronchiectasis b) Nephrotie
c) Coronaryarterydisease d) Diabetesmellitus
5. RegardingDNA structurewhichis not correct.
a) Two strands arc covalently b) Two strands are antiparallel
bonded
c) Strands have polarity. d) Strands are complementaryto
eachother
6. Whicho t n 1i s is not associatedwith hyperuricemia.
a) Multiplemyeloma b) Xanthinuri*'
c) Psoriasis d) Polycythemiavera
7. Sickle cell anaemia occursdue to
a) Silentmutation b) Mis-sensemutation
c) Nonsensemutation d) Frameshiftmutation
8. Whichof the followingrenal functionaltests are used to measure the
GlomemlarFiltrationRate(GFR)
a) Clearancetests. b) Urineconcentrationtests
c) Urine dilutiontests d) Urine acidificationtests
9. Which is an anticancerdrug.
a) Zidovudine b) 6-mercaptopuri»e
c) Allopurinol d) Acyclovir
10. Okazaki fragments occur on the
a) Leadingstrand b) Lagging strand
c) Double helical DNA strand d) All the above
Essay/ Long Answer Questions: 2 x 15-30
A 15-year-old boy complained of swelling and pain in the distal phalangeal
joints. Blood investigations showed the following results. On diagnosing
the pathology, the physician decided to treat patient with allopurinol.
a. What is your probable diagnosis in the above patient.
b. Write tlle synthesis of Uric Acid.
c. Whatis the normal uric acid level.
d. What are other blood investigations would you suggest.
e. Commenton the serum uric acid level and explain the cause of pain in
joints.
f. Writethe ways for loweringserumuric acid level. 0)
g. What is the biochemical explanation for the treatment given in the
above patient.
. Describe the steps of catabolism of Phenylalanine and Tyrosine. Indicate
the inborn errors of metabolism. What are the Biomedically important
compounds derived from tyrosine. (8+5+2)
ShortAnswerQuestions: 7 x 6=42
Medi Circle
13. Namc the enzymes measured to assess liver functions. Discuss the clinical
significance of Alanine transaminase and Alkaline phosphatase in assessing
liver ['unction.
. Discuss the Watson and Crick model ofDNA. Add a note on different forms
CDNA.
. Write on the classification of Acid-base disorders in the body and also
ention the compensatorymechanismsfor each type.
. ustify the statement "Physician is a lifelong learner".
Describethe formation ofbilirubin. Name the different types of jaundice.
J What are tumour markers. Discuss the clinical utility Ofany three tumour
markers,
Write about structure, classification and functions of immunoglobulins.
Very Short Answer Questions: 6 x 3=18
Orotic aciduria.
List the thyroid function tests. Mention the laboratory findings in a case
of
ypothyroidism.
What is Polymerase Chain Reaction (PCR). Mention two clinical
applications of PCR technique.
23. Importance of cytochrome P450 in detoxification.
What is foetal haemoglobin. How does its structure differ from
adult
haemoglobin and explain how it is useful to the foetus.
. ACTH.