QUESTION BANK
PHARM D I YEAR-MEDICINAL BIOCHEMISTRY
LONG ESSAY (10 MARKS)
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ENZYMES
- Define an enzyme? Outline the IUB classification of enzymes with examples. Explain the mechanism of enzyme action.
- Explain the factors affecting enzyme activity. Add a note on the properties of enzymes.
- Define enzyme inhibition and discuss the different types of enzyme inhibitions.
CARBOHYDRATE METABOLISM:
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- Define glycolysis? Describe the biochemical pathway for the breakdown of glucose to pyruvate and lactate. Write about the energetics.
- Explain the reactions sequence, significance and energetics of TCA cycle.
- Define Gluconeogenesis and explain the reactions involved in it with its significance.
- Explain glycogenesis and glycogenolysis.
- Describe the steps involved in the complete oxidation of glucose to pyruvate under aerobic condition with its energetic.
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LIPID METABOLISM
- Describe the biosynthesis of cholesterol. Add a note on the role of cholesterol in the body.
NUCLEIC ACID METABOLISM
- Describe the de novo synthesis of purine nucleotides.
- Explain the metabolic pathway for the biosynthesis of the pyrimidine nucleotides.
- Explain in detail the semiconservative mode of DNA replication.
- Explain in detail about biosynthesis of proteins.
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SHORT ESSAY (5 Marks)
Enzymes:
- What are isoenzymes? Describe their diagnostic applications.
- What are coenzymes? Explain the biochemical role and deficiency symptoms of niacin.
- Discuss the biochemical role and deficiency symptoms of vitamin B2 and B6.
- Discuss the biochemical role of coenzyme forms of vitamin B1 and folic acid.
- Discuss the biochemical role and deficiency symptoms of vitamin B12.
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CARBOHYDRATE METABOLISM:
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- Discuss the glucose tolerance test with its significance.
- Outline the various biochemical reactions involved in HMP shunt pathway and write its significance.
- Discuss the glycogen storage diseases.
- Explain the hormonal regulation of blood glucose level in the body.
Lipid metabolism:
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- Explain the ß-oxidation of saturated fatty acids. Calculate the ATP generated on complete oxidation of palmitic acid.
- Explain the reactions of palmitate synthesis, starting from acetyl CoA.
- What are ketone bodies? Explain the formation and importance of ketone bodies.
- Describe briefly the synthesis of bile acids. Add a note on enterohepatic circulation of bile salts.
Biological oxidation
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- Describe the components of ETC
- What is oxidative phosphorylation? How does it differ from substrate level phosphorylation?
- Explain the chemiosmotic theory of oxidative phosphorylation.
Protein and amino acid metabolism
- Explain the transamination reactions involved in the catabolism of amino acids.
- Explain the deamination reactions involved in the catabolism of amino acids.
- Describe the reactions of urea cycle.
- Explain phenylketonuria and alkaptonuria.
- What are porphoria? Explain the types and clinical manifestations of porphoria.
- Explain the production of bile pigments.
- What is jaundice and explain the different types of jaundice.
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NUCLEIC AID METABOLISM
- Define mutation. Explain various types of the same.
- Describe the different DNA repair mechanisms.
- Define genetic code and describe its characteristic features.
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KIDNEY FUNCTION TESTS
- List out different kidney function tests. Explain any two of them.
- Enlist the tests to assess the renal function? Explain the clearance tests for creatinine and urea.
- Mention the different kidney function tests. Explain in detail any two.
- Write a note on urinary tract calculi.
- Discuss the tests for NPN constituents.
- Add a note on role of kidneys.
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LIVER FUNCTION TESTS:
- Discuss the test to assess the metabolic and detoxification capacity of liver.
- Explain any two liver function tests.
- Enlist the different liver function tests. Explain the dye test for excretory function of liver.
- Explain the tests for hepatic dysfunction.
- Write the principle and significance of SGPT and SGOT determination.
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LIPID PROFILE TESTS:
- Describe lipid profile tests.
- Name the importance of phospholipids and give their physiological role.
- How will you determine the total cholesterol in serum?
- Add a note on HDL and LDL.
- Write the composition and functions of lipoproteins.
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IMMUNOLOGICAL TECHENIQUES
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- What is radioimmunoassay? Give its principle and applications.
- What is ELISA? Give its principle and applications.
MEDICINAL BIOCHEMISTRY QUESTION BANK
Short Answers (2marks)
Introduction to Biochemistry
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- Write the structure and significance of cyclic AMP
- What are high energy compounds? Give two examples.
- Write the structure and significance of ATP.
ENZYMES
- What are allosteric enzymes? Give two examples.
- Give Michaelis-Menten equation with notations used.
- Give therapeutic uses of any two enzymes.
- What is Line-Weaver Burk plot? Give its significance.
- Define Vmax and write its significance.
- Define Km and write its significance.
- What are the two models to explain the active site of enzymes?
- Define enzyme specificity. Give example.
- Define holoenzyme and apoenzyme.
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CARBOHYDRATE METABOLISM:
- What is Diabetes mellitus? Mention its types.
- What is the use of malate-aspartate shuttle?
- What is the amphibolic role of TCA cycle?
- What are anaplerotic reactions?
- How many moles of ATPs are formed in glycolysis when the end product is a) Pyruvic acid and b) lactic acid.
- What is galactose tolerance test? Write its significance.
- Name the enzymes and coenzymes present in pyruvate dehydrogenase (PDH) complex.
- Give the significance of HMP shunt.
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LIPID METABOLISM
- What is the role carnitine in fatty acid oxidation?
- What is the role of citrate in fatty acid synthesis?
- What is ketosis? Name the two conditions which lead to ketosis.
- What is ketolysis? Give its significance.
- What is the functional significance of fatty acid synthase complex?
- Name three unsaturated fatty acids. Write the structure of one of them.
- Enumerate the functions of unsaturated fatty acids.
- Write the structure of cholesterol. What is the role of cholesterol in our body?
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- What are bile salts? Give their importance.
- Name three biologically important compounds derived from the catabolism of cholesterol.
- What is hypercholesterolemia? Name two disorders that result in hypercholesterolemia.
- What are the two measures that can be used to control hypercholesterolemia?
- What is fatty liver? Name the two causes responsible for fatty liver?
- What is atherosclerosis?
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BIOLOGICAL OXIDATION
- Enumerate uncouplers of oxidative phosphorylation, write their mechanism of action.
- Name two inhibitors of ETC and their sites of action.
- What is substrate level phosphorylation and oxidative phosphorylation.
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PROTEIN AND AMINO ACID METABOLISM
- What are transaminases? Write the diagnostic importance of two transaminases.
- What is the normal blood urea level? Name two conditions in which blood urea level is elevated.
- Name four metabolic disorders of urea cycle with enzyme defect.
- What is maple syrup urine disease? What are its characteristics?
- What is albinism? What are its characteristics?
- What is homocystinuria? What are its characteristics?
- What is jaundice?
- What are bile pigments, name the disease associated with their metabolism.
- What are porphoria?
- Define nitrogen balance and protein turnover.
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NUCLEIC ACID METABOLISM
- What are Okazaki fragments?
- What is Gout?
- What are leading and lagging strands?
- What are nucleotides? Name four nucleotides.
- Enumerate the purine and pyrimidine bases present in DNA and RNA.
- What is onion peel model of DNA replication?
- Name two inhibitors of protein synthesis and their site of action.
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KIDNEY FUNCTION TESTS:
- What is semi quantitative urine analysis?
- What is urine concentration test? Give its significance.
- What is creatinine clearance test? Give its significance
- What are urinary tract calculi?
- What is urea clearance test? Give its significance.
- Name any four abnormal urine constituents.
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LIVER FUNCTION TESTS:
- Give the dye test for excretory function of liver.
- Name the tests to assess hepatic function.
- Give the importance of SGPT and SGOT.
- What is normal serum bilirubin level? Give its significance.
- Give example for bile salt and bile pigments.
- What is dye test for excretory function of liver?
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LIPID PROFILE TESTS:
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- List out lipid profile tests.
- Differentiate between good and bad cholesterol.
- Differentiate between triglyceride and lipoproteins.
- Write the principle involved in the estimation of cholesterol in serum.
- Write about HDL and LDL
- What is the significance of lipid profiling?
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IMMUNOLOGICAL TECHNIQUE:
- What is RIA? Give its significance.
- What is ELISA? Give its significance.
ELECTROLYTES:
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- How is the level of sodium determined in the body fluids?
- Enumerate the functions of water.
- How is the level of calcium determined in the body fluids?
- How is the level of chloride determined in the body fluids?
- Define hypokalemia and hyponatremia.
- Write the composition of ORS.
- Name the different fluid compartments in the body.
- What is the role of kidney in water balance?
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- What is the role of aldosterone in the regulation of osmolarity?
- What are the causes of water depletion in the body?
- What are the causes of water excess in the body?
- Name the clinical disorders associated with water depletion and water excess?
- Define acidosis and alkalosis.
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