Q.P. Code: MBN106
M.B.B.S. 1st Prof.
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(New Scheme w.e.f. 2019 admission onwards)BF/2022/06
Biochemistry ? B
M.M. : 100
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Time : 3 Hours(First30 Min. for MCQs)Note: 1.
Use OMR Sheet to answer Multiple Choice Questions(MCQs).
2.
Attempt all questions. Illustrate your answers with suitable diagrams
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3.NO SUPPLEMENTARY SHEET SHALL BE ALLOWED/PROVIDED
4.
The student must write Q.P. Code in the space provided on OMR Sheet and the Title
page of the Answer Book.
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Q.1MCQs (Attempt on OMR sheet)
[1x20]
Tick the most appropriate answer:
1.
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Frameshift mutation results from:a.
Substituion of a single base
b.
Deletion of a single base
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c.Addition of a codon
d.
Deletion of a codon
2.
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Immune response is suppressed by:a.
Natural killer cells
b.
Helper T cells
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c.Regulatory T cells
d.
B cells
3.
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The end product of purine metabolism in human is:a.
Xanthine
b.
Uric acid
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c.Urea
d.
Allantoin
4.
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Which hemoglobin derivative is normally found in blood?a.
Deoxyhemoglobin
b.
Sulfhemoglobin
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c.Acid hematin
d.
Cyanmethemoglobin
5.
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The ration of plasma bicarbonate to carbonic acid is:a.
5:1
b.
10:1
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c.20:1
d.
40:1
6.
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An increase in serum unconjugated bilirubin occurs in:
a.
Hemolytic jaundice
b.
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Obstructive jaundicec.
Defect in intestinal absorption
d.
Glomerulonephritis
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7.Retention of sodium in the body leads to:
a.
Water retention
b.
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Potassium retentionc.
Water loss
d.
Potassium loss
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8.Chaperons are the molecules required during:
a.
Protein folding and translocation
b.
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DNA repairc.
Post-transcriptional modifications
d.
None of the above
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9.Kwashiorkar usually occurs in :
a.
The post weaning period
b.
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Pregnancyc.
Lactation
d.
Old age
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10.Extracellular matrix has:
a.
Same composition in all the tissues
b.
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No interaction between the ground substance and cellular componentsc.
A stable inert structure
d.
The composition to suit the biochemical and mechanical properties of the tissues
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11.A 10 year old child presents with history of rashes self mutilation family history positive.
Which of the following investigation do you think may be suggestive of valuable for
diagnosis?
a.
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Leadb.
Alkaline phosphatise
c.
LDH
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d.Uric acid
12.
Ehler-Danlos syndrome results in abnormal crosslinks among tropocollagen molecules.
Individuals affected with this anomalous condition possess abnormal collegen fibers that result
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in hypermobile joints and hyperextensive skin. It can occur due to deficiency of:a.
Neuraminidase
b.
Lysyl hydoxylase
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c.Iduronidase
d.
G6PD
13.
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Respiratory quotient after heavy carbohydrate meal is:a.
1.2
b.
0.8
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c.1.0
d.
0.7
14.
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DNA replication is:a.
Conservative
b.
Non-conservative
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c.Semi-conservative
d.
None
15.
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A person was admitted in coma. Analysis of the arterial blood gave the following values :pCo2 16mmHg, HCO-3 5mmol/L and PH7.1. What is the underlying acid base disorder?
a.
Metabolic acidosis
b.
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Metabolic alkalosisc.
Respiratory acidosis
d.
Respiratory alkalosis
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16.Cushing's syndrome (overactivity of the adrenal cortex) may be diagnosed by:
a.
Hypokalaemia
b.
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Hyperkalaemiac.
Hyponatraemia
d.
Hypernatraemia
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17.
During DNA replicaion, `5-GTCAAT-3' strand produces a new complementary DNA strand
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with the following structure:
a.
5'-CAGTTA-3'
b.
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5'-ATTGAC-3'c.
5'-ACACCG-3'
d.
5'-GCCAAC-3'
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18.Detection of Bence Jones protein (a non-blood protein) in urine is diagnostic importance in
case of:
a.
Multiple myeloma and myelogenic osteosarcoma
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b.Typhoid fever
c.
Thalassaemia
d.
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AIDSPage 2 of 3
19.
Tubular maximum (TmG) for glucose:
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a.
180 mg/dl
b.
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280 mg/dlc.
350 mg/dl
d.
450 mg/dl
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20.Which of the following is an anticancer drug:
a.
Zidovudine
b.
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6-mercapto purinec.
Allopurinol
d.
Acyclovir
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Q.2. An eight year old boy is brought to the OPD with complaints of swelling around the eyes andankles. The urine was frothy. On examination pedal edema was observed. Routine
investigations showed:
S. protein:
5.9 gm/dL
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S. albumin:2.2 gm/dL
Cholesterol: 329 mg/dL
Urine protein: +++
a.
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What is the most probable diagnosis in this case? Justify.b.
What is the biochemical role of albumin in blood?
c.
What is the biochemical basis of hypercholesterolemia in this case?
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[4x3]Q.3.
Write short notes on:-
[5x4]
a.
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Describe features of the genetic code.b.
Differentiate between glycoproteins and proteoglycans.
c.
Enumerate the clinical significance of any five nucleotide analogues.
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d.Explain the role of tumor suppressor genes in cancer.
Q.4. Explain why:-
[3x5]
a.
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Hypocalcemia occurs in pancreatitisb.
Steatorrhoea is observed on obstructive jaundice
c.
Anemia occurs in lead poisoning
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d.Negative nitrogen balance is observed in cancer
e.
Anion gap is high in diabetic ketoacidosis
Q.5. Write short notes on:-
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[6x3]a.
Explain the biochemical tests performed to assess liver function
b.
Describe gene regulation in eukaryotes
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c.Differentiate between primary and secondary immune response
Q.6. Write short notes:-
[5x3]
a.
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Describe the different blood buffersb.
Explain the biochemical significance of glycemic index
c.
What is the ideal method of breaking bad news to a patient's relative?
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