NOVEMBER 2013 Sub. Code: 4055
FIRST M.B.B.S. DEGREE EXAMINATION
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PAPER V – BIOCHEMISTRY - I
Q. P. Code: 524055 Maximum: 50 Marks
Time: 180 Minutes Answer ALL questions (2 x 7.5 = 15)
I. Elaborate on:
- Describe how bilirubin is formed and excreted in the body.
- Describe the process by which ATP is synthesized in the body.
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II. Write notes on: (10 x 2.5 = 25)
- Role of carnitine in beta-oxidation of fatty acids
- Covalent modification of enzymes in regulation of enzyme activities
- Lactose intolerance
- What is the importance of the pentose phosphate pathway in the body?
- Gluconeogenesis, with reference to definition, substrates, sites and importance in the Body.
- Role of vitamin D in the body.
- Causes of iron deficiency and manifestations of such deficiency (2+3).
- Isoenzymes, with reference to definition, examples and clinical importance.
- Glycated haemoglobin, with reference to its formation, reference value in blood and its clinical importance.
- Thiamine, with reference to its functions in the body, dietary sources and deficiency manifestations.
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III. Short Answers on: (10 x 1 = 10)
- List the vitamins that are required for the functioning of the citric acid cycle.
- Give 2 examples of drugs that act as inhibitors of enzyme and name the enzyme that each one inhibits.
- What is the function of mitochondria in a cell?
- What is the mechanism of action of statins? What is the therapeutic use of this group of drugs?
- List 2 dietary sources and 2 biochemical functions of vitamin C in the body.
- Explain the mechanism of action of cyanide as a poison.
- List 2 good dietary sources of iodine. What is the function of this mineral in the body?
- Enzyme defect and commonest clinical feature in von Gierke's disease?
- What is meant by glycaemic index of food?
- List 2 differences between marasmus and kwashiorkor?
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