First Professional MBBS Examination
2016
(July)
BIOCHEMISTRY
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Paper-IFull Marks: 50
Time: 2 hours
The figures in the margin indicate
full marks for the questions
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Write the answers to the two Halves in separate booksAnswer all questions
FIRST HALF
1. Discuss the organization of protein structure. Give an account of the
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determination of primary structure of proteins. ( 6+2=8)2. Write short notes on any three of the following : ( 4 x 3 = 12)
(a) Fluid mosaic model of membrane structure
(b) Structure of tRNA
(c) Applications of radioisotopes in biochemistry
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(d) Nucleosome3. An African boy (12 years) studying in an Indian school was admitted in a
hospital with complaints of fever and severe pain in arms and legs. On
examination, he was found to have hepatosplenomegaly. Lab findings are Hb--
7 g/dl (Ref. 14-16 g/dl) and haematocrit--20% (Ref. 40%-50%). Haemoglobin
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electrophoresis shows a distinct HbS band with slower movement than adulthaemoglobin (HbA) and microscopic examination of blood smear shows a
crescent (sickle)-shaped erythrocytes.
(a) Give a probable diagnosis. 1
(b) What is the molecular basis of the disease? 2
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(c) What are the abnormalities associated with HbS? 2SECOND HALF
4. What are coenzymes? Write an account of the importance of serum
enzymes in the diagnosis of disease. 2+6=8
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5. Write short notes on any three of the following: 4?3=12(a) Free radicals
(b) Biological value of proteins
(c) Haemoglobinopathies with special reference to sickle cell anaemia
(d) Major histocompatibility complex (MHC)
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6. A school boy, aged 12 years, complained of abdominal pain and wasadmitted in a hospital with a history of behavioural disturbance and epileptic
form of seizures. Clinical examination revealed that the boy had an enlarged
liver. His cornea showed the presence of Kayser-Fleischer ring. The laboratory
findings were as follows:
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Serum copper--40 g/dl(Ref. 100-200 g/dl)
Serum ceruloplasmin--5 mg/dl
(Ref. 25-50 mg/dl)
Urinary copper--200 g/dl (Ref. <25 g/dl)
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(a) Give the probable diagnosis. 1
(b) What are the probable causes of the disease? 2
(c) What is the drug of choice and what is its mechanism of action? 2
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SM16--1000/35 SS/MBBS/BIO-1/7-16